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Objective Measurement of Cosmetic Outcomes of Breast Conserving Therapy Using BCCT.core
Tosol Yu, Keun-Yong Eom, Na Young Jang, Kyung Su Kim, Tae Ryool Koo, Jeanny Kwon, Byoung Hyuck Kim, Eunyoung Kang, Sung-Won Kim, Jae-Sung Kim, In Ah Kim
Cancer Res Treat. 2016;48(2):491-498.   Published online June 22, 2015
DOI: https://doi.org/10.4143/crt.2015.088
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
The purpose of this study is to evaluate objective cosmetic outcomes and factors related to breast-conserving therapy (BCT) using the BCCT.core software.
Materials and Methods
Fifty-one patients who received BCT with informed consent were evaluated using the BCCT.core software. Patients were divided into two groups based on the BCCT score: excellent or good (n=42) vs. fair or poor (n=9). Analysis of clinical factors was performed to determine factors affecting cosmetic outcomes.
Results
The objective cosmetic outcome of BCT measured using the BCCT.core software was excellent in 10% of patients, good in 72%, and fair in 18%. None of the patients were classified as poor outcome. Tumor characteristics, systemic adjuvant therapy (chemotherapy and hormonal therapy), and radiation dose or energy of electron boost did not show correlation with the score measured by the BCCT.core program (p > 0.05). In univariate analysis, maximum dose within the breast (Dmax), width of tangential field, and excised tumor volume were smaller in patients with excellent or good by the BCCT.core compared to those with fair or poor (Dmax, 110.2±1.5% vs. 111.6±1.7%, p=0.019; width of tangential field, 8.0±1.1 cm vs. 8.6±0.7 cm, p=0.034; excised tumor volume, 64.0±35.8 cm3 vs. 95.3±54.4 cm3, p=0.067). In multivariate analysis, only Dmax was a significant factor for breast cosmetic outcome with a risk ratio of 1.697 (95% confidence interval, 1.006 to 2.863; p=0.047).
Conclusion
Objective measurement of cosmetic outcome of BCT using the BCCT.core software was feasible. The cosmetic outcome of BCT may be affected by the maximum dose within the breast.

Citations

Citations to this article as recorded by  
  • Impact of autologous breast reconstruction on bra fit
    Yen-Tung Liu, Novera H. Khan, Mary Catherine Bordes, Gregory P. Reece, Ashleigh M. Francis, Tzuan A. Chen, Karen Bravo, Mia K. Markey
    Supportive Care in Cancer.2024;[Epub]     CrossRef
  • Easy Anthropometric Measurements Are Representative of Baseline Values of Breast Q Values in Asymptomatic Women
    Giuseppe Catanuto, Nicola Rocco, Concetta G. Fichera, Ada Cinquerrui, Martina Rapisarda, Paolo Chiodini, Francesca Magnoni, Patrizia Dorangricchia, Valeria Sebri, Gabriella Pravettoni, Maurizio Bruno Nava, Francesco Caruso
    Healthcare.2024; 12(2): 268.     CrossRef
  • Outcomes of reconstructive techniques in breast cancer using BCCT. core software
    Sevgi Kurt, Ahmet Serkan İlgün, Enver Özkurt, Gürsel Soybir, Gül Alço, Çağlar Ünal, Filiz Elbüken Çelebi, Tomris Duymaz, Tuğba Kayan Tapan, Naziye Ak, Çetin Ordu, Vahit Özmen
    World Journal of Surgical Oncology.2024;[Epub]     CrossRef
  • Evaluating intra and inter-observer bias in the cosmetic rating for random vs. serial assessment of breast photographs
    Preeti Belani, Rima Pathak, Shraddha Kenekar, Gaurika Pokale, Pallavi Rane, Ashwini Chalke, Tabassum Wadasadawala
    The Royal College of Radiologists Open.2024; 2: 100152.     CrossRef
  • Comparison of Postoperative Breast Asymmetry Using Vectra 3D Imaging in Prepectoral Versus Subpectoral Implant-Based Breast Reconstruction
    Seung-Ho Choi, Sang-Oh Lee, Kyu-Jin Chung, Il-Kug Kim, Jun-Ho Lee
    Journal of Clinical Medicine.2024; 13(23): 7486.     CrossRef
  • Long-term Efficacy and Cosmetic Outcomes of Partial-breast Irradiation Using Multicatheter Interstitial Brachytherapy for Breast-conserving Therapy
    Kazuhiko SATO, Hiromi FUCHIKAMI, Naoko TAKEDA, Nana NATSUME, Masahiro KATO
    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2023; 84(2): 238.     CrossRef
  • Identification of key breast features using a neural network: applications of machine learning in the clinical setting of Plastic Surgery
    Nitzan Kenig, Javier Monton Echeverria, Luis De la Ossa
    Plastic & Reconstructive Surgery.2023;[Epub]     CrossRef
  • Breast cancer patient-reported outcome of factors influencing cosmetic satisfaction after breast-conserving therapy
    A. T. P. M. Brands-Appeldoorn, A. J. G. Maaskant-Braat, L. Janssen, L. A. D. M. van Osch, V. C. G. Tjan-Heijnen, R. M. H. Roumen
    Breast Cancer.2022; 29(1): 114.     CrossRef
  • BROWSE: A multicentre comparison of nine year outcomes in acellular dermal matrix based and complete submuscular implant-based immediate breast reconstruction-aesthetics, capsular contracture and patient reported outcomes
    Rebecca L. Wilson, Cliona C. Kirwan, Joe M. O'Donoghue, Richard A. Linforth, Richard K. Johnson, James R. Harvey
    European Journal of Surgical Oncology.2022; 48(1): 73.     CrossRef
  • Factors related to patient-reported cosmetic outcome after breast-conserving therapy for breast cancer
    A. T. P. M. Brands-Appeldoorn, R. C. M. Thomma, L. Janssen, A. J. G. Maaskant-Braat, V. C. G. Tjan-Heijnen, R. M. H. Roumen
    Breast Cancer Research and Treatment.2022; 191(3): 545.     CrossRef
  • Adaptation of BCCT Learning Model in Developing Religious Aspects of Children
    Abd Hamid Wahid, Muhammad Fajri, Hasan Baharun, Riana Imroatul Fitriyah, Arifatur Risqiyah
    Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini.2022; 6(4): 3439.     CrossRef
  • Methods of Esthetic Assessment after Adjuvant Whole-Breast Radiotherapy in Breast Cancer Patients: Evaluation of the BCCT.core Software and Patients’ and Physicians’ Assessment from the Randomized IMRT-MC2 Trial
    Tobias Forster, Clara Köhler, Melissa Dorn, Matthias Felix Häfner, Nathalie Arians, Laila König, Semi Ben Harrabi, Ingmar Schlampp, Eva Meixner, Vanessa Heinrich, Nicola Weidner, Michael Golatta, André Hennigs, Jörg Heil, Holger Hof, David Krug, Jürgen De
    Cancers.2022; 14(12): 3010.     CrossRef
  • Feasibility of anomaly score detected with deep learning in irradiated breast cancer patients with reconstruction
    Dong-Yun Kim, Soo Jin Lee, Eun-Kyu Kim, Eunyoung Kang, Chan Yeong Heo, Jae Hoon Jeong, Yujin Myung, In Ah Kim, Bum-Sup Jang
    npj Digital Medicine.2022;[Epub]     CrossRef
  • Breast Oncoplastic Resections: No Innovation Without Evaluation
    Sherif Monib, Mohamed Farag, Mohamed Ibrahim
    Indian Journal of Surgery.2021; 83(S2): 409.     CrossRef
  • Cosmetic Outcomes of a Phase 1 Dose Escalation Study of 5-Fraction Stereotactic Partial Breast Irradiation for Early Stage Breast Cancer
    Asal Rahimi, Howard E. Morgan, Dong W. Kim, Yuanyuan Zhang, Marilyn Leitch, Rachel Wooldridge, Sally Goudreau, Barbara Haley, Roshni Rao, Aeisha Rivers, Ann E. Spangler, Ryan T. Jones, Stella Stevenson, Jason Staley, Kevin Albuquerque, Chul Ahn, Sarah Neu
    International Journal of Radiation Oncology*Biology*Physics.2021; 110(3): 772.     CrossRef
  • Comparative study between laparoscopically harvested omental flap and glandular flap in immediate reconstruction after conservative surgery in breast cancer
    Waleed Y. El‐Sherpiny, Abdulhamid M. Abdelshafi, Mohamed Ghazaly, Ayman A. Elnemr, Ahmed A. Darwish, Mohamed A. Mlees
    Surgical Practice.2021; 25(2): 92.     CrossRef
  • Reliability of the BCCT.core software in evaluation of breast cosmesis – A systematic review
    Stami Trakis, Heidi Lord, Peter Graham, Ritin Fernandez
    Journal of Medical Imaging and Radiation Oncology.2021; 65(6): 817.     CrossRef
  • New criteria for breast symmetry evaluation after breast conserving surgery for cancer
    RENÉ ALOISIO DA COSTA VIEIRA, GABRIELE BILLER, FABIOLA CRISTINA BRANDINI DA SILVA, JONATHAS JOSÉ DA SILVA, MARCO ANTÔNIO DE OLIVEIRA, ANTÔNIO BAILÃO-JUNIOR
    Revista do Colégio Brasileiro de Cirurgiões.2021;[Epub]     CrossRef
  • Use of Symmetry Assessment Methods in the Context of Breast Surgery
    Javier Monton, Asia Torres, Maria Gijon, Luis Chang-Azancot, Nitzan Kenig, P. Camelia Trandafir, Joaquin Jordan, Ricardo Insausti
    Aesthetic Plastic Surgery.2020; 44(5): 1440.     CrossRef
  • Visual Breast Asymmetry Assessment with Optical-Flow Algorithm
    Javier Monton, Nitzan Kenig, Ricardo Insausti, Joaquin Jordan
    Journal of Medical Systems.2020;[Epub]     CrossRef
  • Nueva metodología para medir simetría frontal en pacientes reconstruidas por cáncer de mama
    Lenia Sánchez Wals, Carlos Acosta-Batista, Oscar Luis Vera Pérez, Juan Jesús Lence Anta, Marco Marcasciano
    Revista de Senología y Patología Mamaria.2019; 32(4): 133.     CrossRef
  • Objective assessment of flap volume changes and aesthetic results after adjuvant radiation therapy in patients undergoing immediate autologous breast reconstruction
    Yujin Myung, Yousung Son, Tae-hyun Nam, Eunyoung Kang, Eun-Kyu Kim, In Ah Kim, Keun-Yong Eom, Chan Yeong Heo, Jae Hoon Jeong, Fabio Santanelli, di Pompeo d'Illasi
    PLOS ONE.2018; 13(5): e0197615.     CrossRef
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  • 22 Crossref
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Definitive Radiotherapy versus Postoperative Radiotherapy for Tonsil Cancer
Tae Ryool Koo, Hong-Gyun Wu, J. Hun Hah, Myung-Whun Sung, Kwang-Hyun Kim, Bhumsuk Keam, Tae Min Kim, Se-Hoon Lee, Dong-Wan Kim, Dae-Seog Heo, Charn Il Park
Cancer Res Treat. 2012;44(4):227-234.   Published online December 31, 2012
DOI: https://doi.org/10.4143/crt.2012.44.4.227
AbstractAbstract PDFPubReaderePub
PURPOSE
The purpose of this study is to analyze treatment outcome of radiotherapy (RT) in patients with stage III-IV tonsil cancer managed by surgery followed by postoperative RT (SRT) and definitive chemoradiotherapy (CRT), and to thereby evaluate the most feasible treatment modality.
MATERIALS AND METHODS
Of 124 patients, 67 underwent CRT, and 57 underwent SRT. We compared survival and complication rates in both groups.
RESULTS
The median follow-up time was 57 months (range, 19 to 255 months) for surviving patients. At five years, locoregional progression-free survival (LRPFS) and overall survival (OS) were 88% and 80%, respectively. No significant difference in LRPFS (p=0.491) and OS (p=0.177) was observed between CRT and SRT. In multivariate analysis, old age and higher T stage showed a significant association with poor LRPFS, PFS, and OS; higher N stage showed an association with poor PFS and a trend of poor LRPFS, while no association with OS was observed; treatment modality (CRT and SRT) showed no association with LRFPS, PFS, and OS. Grade 3 or higher mucositis was observed in 12 patients (21%) in the SRT group, and 25 patients (37%) in the CRT group.
CONCLUSION
Definitive CRT and SRT have similar treatment outcomes for patients with stage III-IV tonsil cancer. Although acute complication rate appears to be higher in the CRT group, it should be noted that not all data on complications were included in this retrospective study. To determine the most feasible treatment modality, not only mucositis and xerostomia, but also emotional aspect and quality of life, should be considered.

Citations

Citations to this article as recorded by  
  • Risk of lymph node metastasis in T1 tonsil squamous cell carcinomas patients according to age stratification at diagnosis
    Yujiao Li, Chaosu Hu
    American Journal of Otolaryngology.2024; 45(6): 104452.     CrossRef
  • Detection of the high-risk factors for synchronous bone metastasis in tonsillar squamous cell carcinoma
    Yujiao Li, Chaosu Hu
    European Archives of Oto-Rhino-Laryngology.2023; 280(10): 4619.     CrossRef
  • The treatment of tonsillar squamous cell carcinoma at Hue Central Hospital
    Phuong Nam Tran
    Journal of Clinical Medicine- Hue Central Hospital.2021;[Epub]     CrossRef
  • Chemoradiotherapy versus surgery followed by postoperative radiotherapy in tonsil cancer: Korean Radiation Oncology Group (KROG) study
    Sanghyuk Song, Hong-Gyun Wu, Chang Geol Lee, Ki Chang Keum, Mi Sun Kim, Yong Chan Ahn, Dongryul Oh, Hyo Jung Park, Sang-Wook Lee, Geumju Park, Sung Ho Moon, Kwan Ho Cho, Yeon-Sil Kim, Yongkyun Won, Young-Taek Oh, Won-Taek Kim, Jae-Uk Jeong
    BMC Cancer.2017;[Epub]     CrossRef
  • Long-term results of ipsilateral radiotherapy for tonsil cancer
    Tae Ryool Koo, Hong-Gyun Wu
    Radiation Oncology Journal.2013; 31(2): 66.     CrossRef
  • Impact of Postoperative Chemoradiotherapy and Chemoradiotherapy Alone for Esophageal Cancer in North-West Iran
    Seyed Kazem Mirinezhad, Mohammad Hossein Somi, Masoud Shirmohamadi, Farshad Seyednejad, Amir Ghasemi Jangjoo, Morteza Ghojazadeh, Mohammad Mohammadzadeh, Ali Reza Naseri, Behnam Nasiri
    Asian Pacific Journal of Cancer Prevention.2013; 14(6): 3921.     CrossRef
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