Patient Preference for Surgical Methods for Ipsilateral Breast Tumor Recurrence

Yukiko Seto; Makoto Ishitobi; Tadahiko Shien; Chiya Oshiro; Hiroaki Inoue; Hiroaki Shima; Sayaka Kuba; Noriyuki Watanabe; Tsuguo Iwatani; Takahiro Nakayama

doi:10.1245/s10434-024-15282-0

Patient Preference for Surgical Methods for Ipsilateral Breast Tumor Recurrence

Ann Surg Oncol. 2024 Apr 9. doi: 10.1245/s10434-024-15282-0. Online ahead of print.

Authors

Affiliations

¹ Department of Breast and Endocrine Surgery, Osaka International Cancer Institute, Osaka, Japan.
² Department of Breast Surgery, Mie University School of Medicine, Tsu, Japan. pu-tobi-100306@docomo.ne.jp.
³ Department of Breast and Endocrine Surgery, Okayama University Hospital, Okayama, Japan.
⁴ Department of Breast Surgery, Kaizuka City Hospital, Kaizuka, Japan.
⁵ Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University Graduate School of Medical Sciences, Tokushima, Japan.
⁶ Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, Osaka, Japan.
⁷ Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

PMID: 38594578
DOI: 10.1245/s10434-024-15282-0

Abstract

Background: Mastectomy has been the standard surgical treatment for ipsilateral breast tumor recurrence (IBTR). Recently, there has been growing interest in repeat breast-conserving surgery (rBCS) for IBTR among breast surgeons; however, there is currently little information regarding patient preferences for surgical procedure for IBTR. The purpose of this study was to evaluate preference for surgical procedure (mastectomy vs. rBCS) among breast cancer patients who had undergone salvage surgery for IBTR.

Methods: Overall, 100 breast cancer patients who had undergone salvage surgery for IBTR were asked about their preferred surgical methods for IBTR and the reason. The association of patient preference and the reasons related to various clinical and pathological factors were assessed.

Results: Of the 100 respondents, only 11 patients (11%) preferred rBCS. Patients who had undergone rBCS and radiotherapy for IBTR were significantly more likely to prefer to undergo rBCS than other groups (p = 0.030). The most frequent reason for choosing rBCS was the patient's desire to minimize breast deformity and surgical wounds.

Conclusions: Our study revealed that there is a low rate of patients who opt to undergo rBCS among patients who had undergone salvage surgery for IBTR. Discrepancies in perceptions regarding the surgical procedure for IBTR between patients and their surgeons may exist.

Keywords: Breast cancer; Breast-conserving surgery; Ipsilateral breast tumor recurrence; Patient preference; Questionnaire survey.