Authors: | Edwards-Bennett, S. M.; Brown, C. L. |
Article Title: | Controversies on cosmetic outcomes in black women after breast conservation therapy: Hyperperception or hyperpigmentation? |
Abstract: | Multiple studies have reported inferior cosmetic outcomes after breast conservation surgery and adjuvant radiation therapy in black women. However, cosmetic analysis scales contemporarily utilized in the field of radiation oncology rely largely on subjective visual and tactile perception. These methods are undeniably fraught with intraobserver and interobserver variability. Herein, we uncover how and why these methods may unwittingly and disparately misjudge cosmetic outcomes in black women, and the clinical ramifications thereof. In addition, we highlight more objective cosmetic outcomes assessment programs that promise to yield more reproducible and unbiased results.© 2011 Edwards-Bennett and Brown. publisher and licensee Dove Medical Press Ltd. |
Keywords: | skin manifestation; cancer adjuvant therapy; cancer radiotherapy; outcome assessment; reproducibility; breast cancer; melanin; skin pigmentation; hemoglobin; radiation injury; postoperative complication; quantitative analysis; partial mastectomy; erythema; hyperpigmentation; diagnostic error; esthetics; data analysis software; dermatology; absorption spectroscopy; negro; breast conservation; blood oxygen tension; chromatophore; clinical assessment tool; women's health; association; interrater reliability; intrarater reliability; black women; cosmetic outcomes; light absorption; visual discrimination |
Journal Title: | Clinical, Cosmetic and Investigational Dermatology |
Volume: | 4 |
ISSN: | 1178-7015 |
Publisher: | Dove Medical Press Ltd |
Date Published: | 2011-01-01 |
Start Page: | 15 |
End Page: | 17 |
Language: | English |
DOI: | 10.2147/ccid.s16641 |
PROVIDER: | scopus |
PMCID: | PMC3108282 |
PUBMED: | 21673870 |
DOI/URL: | |
Notes: | --- - "Export Date: 23 June 2011" - "Source: Scopus" |