Evidence map›Paper›PMID 41258921›Full record

ArticleAesthetic plastic surgery2026

Oncoplastic Breast Surgery: Optimizing Resection Margins in Addition to Aesthetic Outcomes.

Pooja S Yesantharao, Mohammed S Shaheen, Gavin Hui, Saurabh Gombar, Arash Momeni

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pooja S YesantharaoDivision of Plastic & Reconstructive Surgery, Stanford University School of Medicine, 770 Welch Road, Suite 400, Palo Alto, CA, 94304, USA. pyrao@stanford.edu.ORCID 0000-0001-6643-0909
Mohammed S ShaheenDivision of Plastic & Reconstructive Surgery, Stanford University School of Medicine, 770 Welch Road, Suite 400, Palo Alto, CA, 94304, USA.
Gavin HuiDivision of Hematology/Oncology, David Gaffen School of Medicine, University of California, Los Angeles, CA, USA.
Saurabh GombarDepartment of Pathology, Stanford University School of Medicine, Palo Alto, CA, USA.
Arash MomeniDivision of Plastic & Reconstructive Surgery, Stanford University School of Medicine, 770 Welch Road, Suite 400, Palo Alto, CA, 94304, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to determine whether oncoplastic surgery improves resection margins compared to lumpectomy alone in patients undergoing breast conserving therapy, as determined by re-excision rates.

backgroundPrior studies have demonstrated that oncoplastic breast surgery results in better aesthetic outcomes than lumpectomy alone in select patient cohorts. However, there is a dearth of literature on whether oncoplastic breast surgery also provides oncologic benefit.

methodsThis is a retrospective cohort investigation of women who underwent breast conserving therapy at our institution between 2010 and 2023. Breast cancer patients who received either lumpectomy alone or oncoplastic breast surgery during this period were included. The rate of re-excision of margins within the 6-month period following the index procedure was compared between patients who underwent lumpectomy along and those who underwent oncoplastic breast surgery.

resultsOf 4,673 study patients, 4,164 (89.6%) underwent lumpectomy alone and 488 (10.4%) underwent oncoplastic breast surgery. Oncoplastic surgery became significantly more prevalent over the course of the study period (p = 0.04). The re-excision rate was higher in the lumpectomy cohort that in the oncoplastic surgery cohort (17% vs. 13%). After adjusting for potential confounders using propensity score matching, oncoplastic surgery was associated with significantly lower odds of re-excision (OR 0.7, 95% confidence interval 0.4-1.0, p = 0.05).

conclusionsOncoplastic surgery may help to better achieve clear surgical margins compared to lumpectomy alone, and an increasing number of patients are receiving oncoplastic breast surgery. This suggests that, whenever possible, efforts should be made to offer oncoplastic surgery to appropriately selected patients. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Breast NeoplasmsMammaplastyMargins of ExcisionMastectomy, SegmentalAdultAgedCohort StudiesEstheticsFemaleHumansMiddle AgedReoperationRetrospective StudiesRisk AssessmentTreatment OutcomeBreast aesthetic outcomesLumpectomy marginsOncoplastic breast reductionOncoplastic breast surgery

Identifiers

PMID41258921

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.