Breast reconstruction surgery in Australia; A national practice questionnaire (original) (raw)

2018, European Journal of Surgical Oncology

current practices regarding therapeutic mammoplasty in Scotland compared to other techniques, and assess for delay to adjuvant treatment in these patients. Methods: Patients who underwent TM, wide local excision (WLE), mastectomy, or mastectomy with immediate reconstruction (MIR) as their definitive surgery for breast cancer in Scotland between 01/01/2014 and 31/12/2015 were identified from prospectively maintained databases within the Managed Clinical Networks of Scotland. Patient and tumour characteristics were compared between the four groups using Chi square tests. Results: 8075 patients were included in the study, of which 217 had TM as their definitive procedure. 217/5458 (4.0%) breast conserving operations were TMs, whereas the overall rate of oncoplastic surgery was 11.5%. Patients who underwent TM were younger than patients who had WLE or mastectomy but slightly older than MIR patients (median: TM 55 years (29-81), WLE 62yrs (23-97), mastectomy 70yrs (25-96), MIR 50yrs (24-78), p<0.0001). TM patients had larger tumours than those who had WLE, but smaller than both mastectomy groups (median whole tumour size: TM 25mm (1-20), WLE 17mm (0-123), mastectomy 33mm (0-190), MIR 35mm (1-246), p<0.0001). No delay to start of adjuvant chemotherapy was observed (median: TM 42 days (26-161), WLE 40d (11-407), p¼0.528). Conclusions: Our data shows that in current Scottish practice, as might be expected, TM is carried out for younger patients with larger tumours than those who have simple WLE. No delay to chemotherapy was demonstrated.