Studies comparing cosmetic outcome between conventional conservative method (CCM) and endoscope-assisted partial mastectomy (EAPM) are scarce.
A total of 111 patients with stage I or II breast cancer who underwent CCM (n=51) or EAPM (n=60) were reviewed. Evaluation of cosmetic outcome consisted of a 3-level scoring method; breast retraction assessment (0-2), nipple deviation (0-2), atrophy (0-2), skin change (0-2), and scar (0-2). Total scores ≥7 were considered satisfactory. Score 2 was considered satisfactory for analysis by each scoring criterion.
EAPM had a higher rate of satisfactory results compared with CCM (71.7% vs. 52.9%; P=0.042), particularly for atrophy (55.0% vs. 29.4%; P=0.007), and scar (55.0% vs. 31.4%; P=0.012) and for location B (70.0% vs. 12.5%; P=0.025).
EAPM is superior to CCM for postoperative cosmetic outcome with respect to atrophy, scar, and lower tumor location.
*Department of Breast & Endocrine Surgery, Japan Medical Alliance Higashi Saitama General Hospital, Kitakatsushika-gun, Saitama-ken
†Department of Global Health Policy, University of Tokyo, Bunkyo-ku, Tokyo
‡Geriatric Health Service Facility (COSMOS), Japan Medical Alliance Yokohama Stroke and Brain Center, Isogoku, Yokohama-city, Kanagawa-ken, Japan
The authors declare no conflicts of interest.
Reprints: Nobuyuki Takemoto, MD, PhD, Department of Breast & Endocrine Surgery, Japan Medical Alliance Higashi Saitama General Hospital, 11-2-2 Seiji, Sugito-machi, Kitakatsushika-gun, Saitama-ken 345-0025, Japan (e-mail: firstname.lastname@example.org).
Received February 10, 2011
Accepted November 9, 2011