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Impact of Oncoplastic Surgery on Survival and
Local Recurrence. Case series
•
Large series report 5 year rates
of LRR 4%. Overall Survival rate
94.5% and DFS of 90.9% (Rezai
et al, 2014).
•
Lee et al, 2017, compared
surgery types and 6 year LRR,
OS and DFS and found no
significant difference by surgery
type.
•
Mansell et al, 2017, compared
LRR at 5 years between standard
WLE, OPS and Mastectomy with
LRRs of 3.4, 2 and 2.6%
respectively (P = NS) despite
WLE cases being smaller and
less adverse histologically.
•
DFS rates of OPS and
Mastectomy were similar in
keeping with their similar stage
and grade profiles
A large meta analysis (De La Cruz et al, 2016) confirmed that there is no LRR, DFS
or OS disadvantage compared to case matched standard BCS or mastectomy