Avaliação de simetria mamária em pacientes mastectomizadas pelo aplicativo BSymmetry

Abstract

Background: Search for satisfactory aesthetic outcomes related to quality of life without major psychological damage to the patients represents one of the major challenges to the treatment of breast cancer. Aims: (1) Literature review; Systematic review of existing literature on the evaluation of cosmetic as well as breast symmetry in patients who underwent surgeries for the treatment of breast cancer. With research in PubMed with the following descriptors: aesthetic mammary, breast symmetry, mastectomy, bcct.core; of the last ten years. (2) This study aims to evaluate and compare the BSymmetry app, through a similarity study with BCCT.core software. Methods: (1) Systematic review of the existing literature on the evaluation of cosmetic as well as breast symmetry in patients who underwent surgeries to treat breast cancer. (2) This is a unicentric, retrospective, cross-sectional analytical study with the description of its clinical records and patient records. All patients were submitted a nipple or skin sparing mastectomies, with immediate reconstruction, in the Nossa Senhora das Graças Hospital, Breast Unit. Photographic documentation was done in the pre- and postoperative period. Breast symmetry analysis was performed using the BSYMMETRY app and BCCT.core software. Results: There was a reasonable degree of agreement between the BSYMMETRY and BCCT.core methods, evidenced in both pre and postoperative evaluations, with kappa = 0.29 in both; as in the evolution of breast symmetry, kappa = 0.26. Conclusions: (1) Lack of a gold standard method for evaluation of breast symmetry. Description of existing methods to evaluate mammary cosmesis and description of a new method for analysis of breast symmetry. (2) The BSYMMETRY application showed reasonable agreement and / or similarity when compared to BCCT.core software.