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The Ratio of the Resected Specimen Volume to Breast Volume, as Measured by Three-Dimensional Surface Imaging, Is Associated With Aesthetic Outcome After Breast-Conserving Surgery.

Created on 23 Sep 2026

Authors

Satsuki Fukumoto, Hironori Goto, Yukiko Hara, Keiichiro Tada

Published in

European journal of breast health. Volume 22. Issue 4. Pages 447-454. Sep 23, 2026.

Abstract

An objective method to predict aesthetic outcomes after breast-conserving surgery (BCS) has not been established. The ratio of the resected specimen volume to breast volume (S/B ratio) may be a reasonable option for this purpose.
We recruited 32 breast cancer patients who underwent BCS. Preoperative breast volumes were measured using three-dimensional surface imaging (3DSI) and computed tomography (CT). The volume of the surgical specimens was estimated by the length, width, and height of the specimen. The S/B ratio was calculated from these values. The association between the S/B ratio and aesthetic outcome evaluated by an expert panel or by patient-reported outcomes was analyzed 1 year after BCS.
There was a statistically significant association between the S/B ratio and aesthetic outcome evaluated by the expert panel when we used 3DSI to measure the preoperative breast volume (p = 0.01). An S/B ratio of <12.3% may represent a preliminary cut-off for predicting an excellent aesthetic outcome. This association was not observed when CT was used to measure breast volume (p = 0.09). Furthermore, there was no significant association between the S/B ratio and patient-reported outcome.
When 3DSI is used for breast volume measurement, the S/B ratio is associated with the aesthetic outcome after BCS. This advantage of 3DSI may be due to the upright position of the patients during the breast volume measurement.

PMID:
42776012
Bibliographic data and abstract were imported from PubMed on 23 Sep 2026.

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