New criteria for breast symmetry evaluation after breast conserving surgery for cancer

Detalhes bibliográficos
Autor(a) principal: VIEIRA,RENÉ ALOISIO DA COSTA
Data de Publicação: 2021
Outros Autores: BILLER,GABRIELE, SILVA,FABIOLA CRISTINA BRANDINI DA, SILVA,JONATHAS JOSÉ DA, OLIVEIRA,MARCO ANTÔNIO DE, BAILÃO-JUNIOR,ANTÔNIO
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100219
Resumo: ABSTRACT Objective: to evaluate symmetry after breast-conserving surgery (BCS) for cancer. Methods: a prospective study of patients undergoing BCS. These patients were photographed using the same criteria of evaluation. The references points used were the nipple height difference (NH), the nipple-manubrium distances (NM), nipple-sternum distances (NS) and the angle between the intramammary fold and the nipple (nipple angle; NA). ImageJ software was used. Three breast symmetry models were evaluated: excellent/others (model 1), excellent-good/others (model 2) and others/poor (model 3). The ROC curve was used to select acceptable criteria for the evaluation of symmetry. Decision tree model analysis was performed. Results: a total of 274 women were evaluated. The BCCT.core result was excellent in 5.8% (16), good in 24.1% (66), fair in 46.4% (127) and poor in 23.7% (65). The difference in NH was associated with good breast area (0.837-0.846); acceptable differences were below 3.1 cm, while unacceptable values were greater than 6.4 cm. Differences in the NM were associated with average breast area (0.709-0.789); a difference in value of less than 4.5 cm was acceptable, while values greater than 6.3 cm were unacceptable. In the decision tree combined model, a good-excellent outcome for patients with differential (d) dNH = 1 (0 to 5.30 cm) and dNM ≠ 3 (<6.28 cm); and for a poor/poor result, values dNM = 3 (> 6.35). Conclusions: the results presented here are simple tools that can assist the surgeon for breast symmetry evaluation.
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spelling New criteria for breast symmetry evaluation after breast conserving surgery for cancerBreast Neoplasms. Conservative Treatment. MastectomySegmental. Body Image. ROC AnalysisABSTRACT Objective: to evaluate symmetry after breast-conserving surgery (BCS) for cancer. Methods: a prospective study of patients undergoing BCS. These patients were photographed using the same criteria of evaluation. The references points used were the nipple height difference (NH), the nipple-manubrium distances (NM), nipple-sternum distances (NS) and the angle between the intramammary fold and the nipple (nipple angle; NA). ImageJ software was used. Three breast symmetry models were evaluated: excellent/others (model 1), excellent-good/others (model 2) and others/poor (model 3). The ROC curve was used to select acceptable criteria for the evaluation of symmetry. Decision tree model analysis was performed. Results: a total of 274 women were evaluated. The BCCT.core result was excellent in 5.8% (16), good in 24.1% (66), fair in 46.4% (127) and poor in 23.7% (65). The difference in NH was associated with good breast area (0.837-0.846); acceptable differences were below 3.1 cm, while unacceptable values were greater than 6.4 cm. Differences in the NM were associated with average breast area (0.709-0.789); a difference in value of less than 4.5 cm was acceptable, while values greater than 6.3 cm were unacceptable. In the decision tree combined model, a good-excellent outcome for patients with differential (d) dNH = 1 (0 to 5.30 cm) and dNM ≠ 3 (<6.28 cm); and for a poor/poor result, values dNM = 3 (> 6.35). Conclusions: the results presented here are simple tools that can assist the surgeon for breast symmetry evaluation.Colégio Brasileiro de Cirurgiões2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100219Revista do Colégio Brasileiro de Cirurgiões v.48 2021reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20202698info:eu-repo/semantics/openAccessVIEIRA,RENÉ ALOISIO DA COSTABILLER,GABRIELESILVA,FABIOLA CRISTINA BRANDINI DASILVA,JONATHAS JOSÉ DAOLIVEIRA,MARCO ANTÔNIO DEBAILÃO-JUNIOR,ANTÔNIOeng2021-06-10T00:00:00Zoai:scielo:S0100-69912021000100219Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2021-06-10T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv New criteria for breast symmetry evaluation after breast conserving surgery for cancer
title New criteria for breast symmetry evaluation after breast conserving surgery for cancer
spellingShingle New criteria for breast symmetry evaluation after breast conserving surgery for cancer
VIEIRA,RENÉ ALOISIO DA COSTA
Breast Neoplasms. Conservative Treatment. Mastectomy
Segmental. Body Image. ROC Analysis
title_short New criteria for breast symmetry evaluation after breast conserving surgery for cancer
title_full New criteria for breast symmetry evaluation after breast conserving surgery for cancer
title_fullStr New criteria for breast symmetry evaluation after breast conserving surgery for cancer
title_full_unstemmed New criteria for breast symmetry evaluation after breast conserving surgery for cancer
title_sort New criteria for breast symmetry evaluation after breast conserving surgery for cancer
author VIEIRA,RENÉ ALOISIO DA COSTA
author_facet VIEIRA,RENÉ ALOISIO DA COSTA
BILLER,GABRIELE
SILVA,FABIOLA CRISTINA BRANDINI DA
SILVA,JONATHAS JOSÉ DA
OLIVEIRA,MARCO ANTÔNIO DE
BAILÃO-JUNIOR,ANTÔNIO
author_role author
author2 BILLER,GABRIELE
SILVA,FABIOLA CRISTINA BRANDINI DA
SILVA,JONATHAS JOSÉ DA
OLIVEIRA,MARCO ANTÔNIO DE
BAILÃO-JUNIOR,ANTÔNIO
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv VIEIRA,RENÉ ALOISIO DA COSTA
BILLER,GABRIELE
SILVA,FABIOLA CRISTINA BRANDINI DA
SILVA,JONATHAS JOSÉ DA
OLIVEIRA,MARCO ANTÔNIO DE
BAILÃO-JUNIOR,ANTÔNIO
dc.subject.por.fl_str_mv Breast Neoplasms. Conservative Treatment. Mastectomy
Segmental. Body Image. ROC Analysis
topic Breast Neoplasms. Conservative Treatment. Mastectomy
Segmental. Body Image. ROC Analysis
description ABSTRACT Objective: to evaluate symmetry after breast-conserving surgery (BCS) for cancer. Methods: a prospective study of patients undergoing BCS. These patients were photographed using the same criteria of evaluation. The references points used were the nipple height difference (NH), the nipple-manubrium distances (NM), nipple-sternum distances (NS) and the angle between the intramammary fold and the nipple (nipple angle; NA). ImageJ software was used. Three breast symmetry models were evaluated: excellent/others (model 1), excellent-good/others (model 2) and others/poor (model 3). The ROC curve was used to select acceptable criteria for the evaluation of symmetry. Decision tree model analysis was performed. Results: a total of 274 women were evaluated. The BCCT.core result was excellent in 5.8% (16), good in 24.1% (66), fair in 46.4% (127) and poor in 23.7% (65). The difference in NH was associated with good breast area (0.837-0.846); acceptable differences were below 3.1 cm, while unacceptable values were greater than 6.4 cm. Differences in the NM were associated with average breast area (0.709-0.789); a difference in value of less than 4.5 cm was acceptable, while values greater than 6.3 cm were unacceptable. In the decision tree combined model, a good-excellent outcome for patients with differential (d) dNH = 1 (0 to 5.30 cm) and dNM ≠ 3 (<6.28 cm); and for a poor/poor result, values dNM = 3 (> 6.35). Conclusions: the results presented here are simple tools that can assist the surgeon for breast symmetry evaluation.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100219
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100219
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-6991e-20202698
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.48 2021
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
instacron:CBC
instname_str Colégio Brasileiro de Cirurgiões (CBC)
instacron_str CBC
institution CBC
reponame_str Revista do Colégio Brasileiro de Cirurgiões
collection Revista do Colégio Brasileiro de Cirurgiões
repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
repository.mail.fl_str_mv ||revistacbc@cbc.org.br
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