Summary Objective: The purpose of our study was to compare two different surgical techniques for the treatment of localized breast cancer at the dials top, bottom and center, which is the standard surgery and the oncoplastic, assessing the relative disadvantages, benefits and indications as appropriate. Metods: We prospectively evaluated 18 patients aged between 35 and 61 years: 10 oncoplastic treated with surgery (group 1) and 8 undergoing standard quadrantectomy (group 2). We excluded from our study the patients with positive resection margins, multicentric carcinoma, inflammatory carcinoma and contraindications to radioterapy adiuvante. Others various exclusion criteria not cancer, were also the small size of the mammary gland, cigarettes smoking, diabetes and a BMI > 30. Results: the mean volume removed is higher for patients in group 1, 200.18 cm3, compared to those of group 2, 117.55 cm3. The surgical margins appear to be negative after histological confirmation in 9 out of 10 for group 1 and 5 cases out of 8 for group 2. It was estimated the average distance of the surgical margins by tumor was 8,5 mm. for group 1 and 6,5 mm. for group 2. Comparing our cases with those in the literature shows that the extension of glandular excision is a determining factor for the cosmetic result: the higher the volume removed, the greater the risk of an unsatisfactory cosmetic result. Conclusion: From analysis of our results can be seen as surgery oncoplastic aims to satisfy all the principles of good care, ranging from the correct information to the multidisciplinary program, to run an integrated intervention using techniques of breast
VALUTAZIONE DELLA PROCEDURA ONCOPLASTICA PER IL TRATTAMENTO DEI CARCINOMI MAMMARI LOCALIZZATI AI QUADRANTI SUPERIORI, INFERIORI E CENTRALI
CARDI', Francesco;
2011-01-01
Abstract
Summary Objective: The purpose of our study was to compare two different surgical techniques for the treatment of localized breast cancer at the dials top, bottom and center, which is the standard surgery and the oncoplastic, assessing the relative disadvantages, benefits and indications as appropriate. Metods: We prospectively evaluated 18 patients aged between 35 and 61 years: 10 oncoplastic treated with surgery (group 1) and 8 undergoing standard quadrantectomy (group 2). We excluded from our study the patients with positive resection margins, multicentric carcinoma, inflammatory carcinoma and contraindications to radioterapy adiuvante. Others various exclusion criteria not cancer, were also the small size of the mammary gland, cigarettes smoking, diabetes and a BMI > 30. Results: the mean volume removed is higher for patients in group 1, 200.18 cm3, compared to those of group 2, 117.55 cm3. The surgical margins appear to be negative after histological confirmation in 9 out of 10 for group 1 and 5 cases out of 8 for group 2. It was estimated the average distance of the surgical margins by tumor was 8,5 mm. for group 1 and 6,5 mm. for group 2. Comparing our cases with those in the literature shows that the extension of glandular excision is a determining factor for the cosmetic result: the higher the volume removed, the greater the risk of an unsatisfactory cosmetic result. Conclusion: From analysis of our results can be seen as surgery oncoplastic aims to satisfy all the principles of good care, ranging from the correct information to the multidisciplinary program, to run an integrated intervention using techniques of breastI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
