@article{TBCR120564,
author = {Zilin Zhuang and Di Huang and Linbin Yang and Jiannan Wu and Liang Jin and Xun Li and Zhiyun Qian and Rong Lei and Xiaojun Li and Erwei Song and Yan Nie},
title = {Comparative outcomes of conventional versus endoscopic-assisted surgery for breast phyllodes tumors: a single center retrospective cohort study},
journal = {Translational Breast Cancer Research},
volume = {7},
number = {0},
year = {2026},
keywords = {},
abstract = {Background: Breast phyllodes tumors (PTs) tend to grow rapidly and often present as large tumors. Consequently, conventional surgery (CS) typically leaves large and conspicuous scars on the breast. In contrast, endoscopic-assisted surgery (EAS) via the axillary approach offers smaller, more concealed incisions, leaving the breast surface unscarred. However, whether this technique can enhance aesthetic outcomes without increasing the risk of PTs recurrence remains unclear. The study aimed to compare the oncologic safety and cosmetic outcomes of EAS versus CS in patients with PTs.Methods: Patients with newly diagnosed PTs who received surgical treatment were included, and they were stratified into two groups: EAS group and CS group. Propensity score matching (PSM) was used to balance the baseline differences between two groups. Oncologic safety, cosmetic satisfaction, intraoperative indicators, and postoperative complications were compared between patients underwent EAS and CS.Results: After 1:3 PSM, 200 patients were included in the final analysis (147 CS and 53 EAS). The median follow-up was 23.77 months. EAS was associated with a significantly longer operative time (83.77±26.81 vs. 73.44±34.66 min, P=0.01) but yielded superior cosmetic outcomes, as evidenced by higher BREAST-Q scores for breast satisfaction (76.81±9.15 vs. 69.21±9.64, P},
issn = {2218-6778}, url = {https://tbcr.amegroups.org/article/view/120564}
}