Abstract
The cosmetic results of the breast (144 patients)were analysed after segmental resection and axillary dissectionwith or without postoperative radiotherapy for early low-riskbreast cancers. Cosmetic results were assessed over time(3, 9, 18, 36, 48 months respectively) bythe patient and by the physician. Patients ratedthe overall cosmetic result good or excellent in92% of cases after 3 months. The proportionof good or excellent cosmetic results decreased overtime and after four years 89% of patientsclassified themselves in this category, whereas the physicianassessed the outcome as good or excellent in91% of cases after 3 months and 75%after 4 years. The inter-observer consistency between physicianand patient in assessing the cosmetic outcome wasκ=0.42 at the beginning and decreasedover time (κ=0.07 after 4 years).The intra-observer variation over time was κ =0.53 for the patient and κ=0.32for the physician.Inter-observer consistency between patient and physician was moderateimmediately following treatment but decreased over time. Thefeeling of satisfaction of the patient was relativelystable whereas the opinion of the physician becamesomewhat more critical over time. Therefore the intra-observerconsistency over time was somewhat better for thepatient than for the physician.
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References
Kurtz JM, Mirabell R: Radiation therapy and breast conservation: cosmetic results and complications. Sem Radiat Oncol 2: 125–131, 1992
Harris JR, Levene MB, Svensson G, Hellman S: Analysis of cosmetic results following primary radiation therapy for stages I and II carcinoma of the breast. Int J Radiat Oncol Biol Phys 5: 257–261, 1979
Clarke D, Martinez A, Cox RS: Analysis of cosmetic results and complications in patients with stage I and II breast cancer treated by biopsy and in radiation. Int J Radiat Oncol Biol Phys 9: 1807–1813, 1983
Borger JH, Keijser AH: Conservative breast cancer treatment: analysis of cosmetic results and role of concomitant adjuvant chemotherapy. Int J Radiat Oncol Biol Phys 13: 1173–1177, 1987
Abner AL, Recht A, Vicini F et al.: Cosmetic results after surgery, chemotherapy, and radiation therapy for early breast carcinoma. Int J Radiat Oncol Biol Phys 21: 331–338, 1991
Kurtz JM: Impact of radiotherapy on breast cosmesis. The Breast 4: 163–169, 1995
Taylor ME, Perez CA, Halverson KJ et al.: Factors influencing cosmetic results after conservation therapy for breast cancer. J Radiat Oncol Biol Phys 4: 753–764, 1995
Van Limbergen E, Van der Schueren E, Van Tongelen K: Cosmetic evaluation of breast conserving treatment for mammary cancer. 1. Proposal of a quantitative scoring system. Radiother Oncol 16: 159–167, 1989
Gray JR, McCormick B, Cox L, Yahalom J: Primary breast irradiation in large-breasted or heavy women: analysis of cosmetic outcome. Int J Radiat Oncol Biol Phys 21: 347–354, 1991
Fleiss J: Statistical methods for rates and proportions. John Wiley & Son, New York, 1981
Beadle G, Silver B, Botnick L et al.: Cosmetic results following primary radiation therapy for early breast cancer. Cancer 54: 2911–2918, 1984
Bartelink H, Van Dam F, Van Dongen J: Psychological effects of breast conserving therapy in comparison with radical mastectomy. Int J Radiat Oncol Biol Phys 10: 2131–2137, 1984
Pezner RD, Patterson MP, Hill R et al.: Breast retraction assessment: An objective evaluation of cosmetic results of patients treated conservatively for breast cancer. Int J Radiat Oncol Biol Phys 11: 575–578, 1985
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Kaija, H., Rauni, S., Jorma, I. et al. Consistency of patient- and doctor-assessed cosmetic outcome after conservative treatment of breast cancer. Breast Cancer Res Treat 45, 225–228 (1997). https://doi.org/10.1023/A:1005853419167
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DOI: https://doi.org/10.1023/A:1005853419167