The significant need for breast reconstruction resulting from the spread of oncoplastic
breast surgery raises a number of systemic issues. Clarification and regulation of
the indications are needed for aesthetic changes of the reconstructed breast due to
oncotherapy treatments, ageing and technical problems of implants; a number of operations,
targeted aesthetic goals as well as surgical capacities and financial background should
also be determined.Our aim was to conduct a survey on the opinions and needs of the
Hungarian breast cancer population about a modern breast reconstruction system.A study
was conducted enrolling 500 patients who underwent mastectomy with immediate or delayed
reconstruction. A structured questionnaire containing eleven questions was used to
measure the attitude for loss and reconstruction of breast, the expectation of cosmetic
outcome and qualification of the operating surgeon and the needs relating to the health
system and funding.The median age was 47 years (min.-max.: 26-73), 59% (n = 294) was
married and 52% (n = 260) had graduated in university. The majority of women (70%;
n = 348) would like to have nakedly also similar breasts after the reconstruction
process. To achieve this, 43% (n = 217) and 37% (n = 184) would undergo maximum two
or four procedures, respectively, supported by the national health insurance company.
86% (n = 430) would like to choose qualified breast surgeon for her treatment.The
modern oncoplastic treatment raises complex, systemic issues. Women with breast cancer
would like to have qualified breast surgeons restoring their breasts by two operations,
all funded by the national health insurance company. Orv Hetil. 2020; 161(29): 1221-1228.
