Surgery remains a priority for breast cancer treatment. This study aimed to compare the cosmetic outcomes of oncoplastic patients who had undergone breast-conserving surgery, mini-LDF (latissimus dorsi flap), and immediate implant reconstruction using both the Japanese scale and the BCCT.core (The Breast Cancer Conservative Treatment cosmetic results software) program and to validate this program. Patients who underwent surgery for breast cancer between 1997 and 2021 were retrospectively studied. Patients were divided into three groups: 1-those who had undergone breast-conserving surgery (245 patients, 71.3%), 2-those who had undergone mini-LDF after lumpectomy (38 patients, 11.02%), and 3- those who underwent reconstruction with implants after nipple-sparing mastectomy (61 patients, 17.68%). The patients were called for a follow-up examination, and their photos were taken. The photographs were shown to an independent breast surgeon and a plastic surgeon who was not included in the surgeries, and they were asked to evaluate and rate them according to the Japanese cosmetic evaluation scale. The same images were transferred to the computer and scored using BCCT.core. The plastic and breast surgeon evaluation results showed no significant difference between the three cosmetic techniques (p = 0.99, 0.98). The results of BCCT.core software measurements were similar to the results of plastic and breast surgeons (p: 0.43). Patients are more knowledgeable about cosmetic outcomes and expect more objective data. In this study, we used 3 different cosmetic evaluation scales. We found that these techniques give results that are compatible with each other in terms of evaluating the work done in a more concrete way. For this reason, we recommend the use of such software, which offers objective results in a subjective field such as aesthetics and is very easy to apply.

中文翻译：

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使用 BCCT 进行乳腺癌重建技术的结果。核心软件

手术仍然是乳腺癌治疗的首要任务。本研究旨在使用日本量表和 BCCT.core（乳腺癌保守治疗美容结果）比较接受保乳手术、迷你 LDF（背阔肌皮瓣）和即刻种植体重建的肿瘤整形患者的美容结果软件）程序并验证该程序。对 1997 年至 2021 年间接受乳腺癌手术的患者进行了回顾性研究。患者被分为三组：1-接受过保乳手术的患者（245 名患者，71.3%），2-在肿瘤切除术后接受过 mini-LDF 的患者（38 名患者，11.02%），3-接受过保乳手术的患者保留乳头的乳房切除术后植入物重建（61 名患者，17.68%）。患者被要求进行后续检查，并拍摄照片。这些照片被展示给一名独立的乳腺外科医生和一名未参与手术的整形外科医生，并要求他们根据日本美容评估量表进行评估和评分。将相同的图像传输到计算机并使用 BCCT.core 进行评分。整形外科医生和乳房外科医生的评估结果显示，三种美容技术之间没有显着差异（p = 0.99、0.98）。 BCCT.core 软件测量的结果与整形外科医生和乳腺外科医生的结果相似（p：0.43）。患者对美容结果更加了解，并期望获得更客观的数据。在这项研究中，我们使用了 3 种不同的化妆品评价量表。我们发现这些技术在以更具体的方式评估已完成的工作方面给出了彼此兼容的结果。因此，我们建议使用此类软件，它可以在美学等主观领域提供客观结果，并且非常易于应用。