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Evaluation of quality of life after conservative oncoplastic surgery in patients with breast cancer
The aim of the study is the evaluation of the oncological, aesthetic and functional results after conservative oncoplastic breast surgery using unilateral or bilateral remodeling techniques in a prospective sample of 250 patients.
Endpoints:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients undergoing oncoplastic surgery with type 1 (unilateral) techniques. | All patients with clinical-instrumental diagnosis of breast cancer, candidates for conservative oncoplastic surgery who give informed consent to the study, will be included in the study. Type 1 procedures generally involve a unilateral approach, able to guarantee good resective quality, without a significant alteration of the volume with respect to the contralateral breast. Post-surgical histopathological data and any associated postsurgical complications will be collected through the compilation of a database. Aesthetic and functional post-surgical results related to the quality of life, as data perceived by the surgeon and by the patient, will be collected through the administration of a questionnaire. |
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| Patients undergoing oncoplastic surgery with type 2 (bilateral) techniques. | All patients with clinical-instrumental diagnosis of breast cancer, candidates for conservative oncoplastic surgery who give informed consent to the study, will be included in the study. Type 2 procedures (therapeutic mammoplasty), offer a greater resective potential, but generally require the use of contralateral surgery to obtain symmetry, simultaneous or delayed. Post-surgical histopathological data and any associated postsurgical complications will be collected through the compilation of a database. Aesthetic and functional post-surgical results related to the quality of life, as data perceived by the surgeon and by the patient, will be collected through the administration of a questionnaire. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Study and recording of post-surgical clinical and pathological data of patients diagnosed with breast cancer undergoing unilateral or bilateral conservative oncoplastic surgery. | Other | Control and review of pathological parameters (oncological radicality resection volume, locoregional extension / TNM / multifocality and tumor biological profile). |
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of post-surgical data | focus on the achievement of oncological radicality in relation to the surgical technique (yes or no). | three years |
| evaluation of resection volumes | focus on the resection volume in relation to the surgical technique (cm3). | three years |
| evaluation of post-surgical staging criteria | focus on the locoregional extension (TNM staging criteria, American Joint Committee on Cancer, 8th edition) | three years |
| evaluation of multifocality | focus on the multifocality (yes or no). | three years |
| evaluation of tumor biological profile | focus on the tumor biological profile ( luminal A, luminal B HER2-, luminal B HER2+, HER2+, triple-negative). | three years |
| evaluation of any post-surgical associated complications | focus on any major , minor, delayed associated complications (dehiscence, liponecrosis, infection, seroma, hematoma, fibrosis, scar hypertrophy). | three years |
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of post-surgical aesthetic results | focus on data perceived by the surgeon (technical analysis) through a questionnaire with scores ranging from 1 to 3. | three years |
| evaluation of post-surgical functional results related to the quality of life after oncoplastic conservative surgery (unilateral or bilateral) through a questionnaire with scores ranging from 1 to 3. |
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Inclusion Criteria:
Exclusion Criteria:
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All patients with clinical-instrumental diagnosis of breast cancer, candidates for conservative oncoplastic surgery with type 1 and 2 procedures who give informed consent to the study, will be included in the study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Paolo Orsaria, MD, PhD; | Contact | 3282492485 | p.orsaria@policlinicocampus.it | |
| Policlinico Universitario Campus Bio-Medico | Contact | +3906225418812 | comitato.etico@policlinicocampus.it |
| Name | Affiliation | Role |
|---|---|---|
| Paolo Orsaria, Surgeon; | Policlinico Universitario Campus Bio-Medico | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Paolo Orsaria, MD. PhD; [porsaria] | Recruiting | Roma | 00128 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34338466 | Background | Orsaria P, Grasso A, Caggiati L, Altomare M, Altomare V. Update on oncoplastic techniques in breast conserving surgery: algorithms for predictable results and custom-made reconstructions. Minerva Surg. 2021 Dec;76(6):512-525. doi: 10.23736/S2724-5691.21.08976-0. Epub 2021 Aug 2. | |
| 27460720 | Background | Cali Cassi L, Vanni G, Petrella G, Orsaria P, Pistolese C, Lo Russo G, Innocenti M, Buonomo O. Comparative study of oncoplastic versus non-oncoplastic breast conserving surgery in a group of 211 breast cancer patients. Eur Rev Med Pharmacol Sci. 2016 Jul;20(14):2950-4. |
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| Study and recording of any associated post-surgical complications (of patients diagnosed with breast cancer undergoing unilateral or bilateral conservative oncoplastic surgery. | Other | Control and review of post-surgical complications (dehiscence, liponecrosis, infection, seroma, hematoma, fibrosis, scar hypertrophy). |
|
| Study and recording of aesthetic and functional post-surgical results related to the quality of life, as data perceived by the surgeon (technical analysis), and by the patient. | Other | Control and review of technical analysis by the surgeon, and of psychosocial well-being, physical discomfort, adverse effects of radiotherapy by the patient collected through the administration of a questionnaire. |
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focus on data perceived by the patient (psychosocial well-being, physical discomfort, adverse effects of radiotherapy). |
| three years |
| 36547150 | Background | Orsaria P, Grasso A, Soponaru G, Carnevale F, Scorsone V, Ippolito E, Pantano F, Sammarra M, Piccolo C, Altomare M, Perrone G, Altomare V. Subaxillary Replacement Flap Compared with the Round Block Displacement Technique in Oncoplastic Breast Conserving Surgery: Functional Outcomes of a Feasible One Stage Reconstruction. Curr Oncol. 2022 Nov 30;29(12):9377-9390. doi: 10.3390/curroncol29120736. |
| 33952501 | Background | Orsaria P, Grasso A, Ippolito E, Pantano F, Sammarra M, Altomare C, Cagli B, Costa F, Perrone G, Soponaru G, Caggiati L, Vanni G, Buonomo OC, Altomare V. Clinical Outcomes Among Major Breast Cancer Subtypes After Neoadjuvant Chemotherapy: Impact on Breast Cancer Recurrence and Survival. Anticancer Res. 2021 May;41(5):2697-2709. doi: 10.21873/anticanres.15051. |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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