Breast conservation surgery by round block mammoplasty
| Autor: | Karen James, Rajaram Burrah, Raman Vinayagam, Jonathan Michael Lund |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty Breast Neoplasms Mammoplasty Mastectomy Segmental 03 medical and health sciences Quadrant (abdomen) Postoperative Complications 0302 clinical medicine Breast cancer medicine Humans Aged Retrospective Studies Aged 80 and over Breast conservation Tumor size business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease Specimen weight Surgery Oncoplastic Surgery Oncology 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology business |
| Zdroj: | European Journal of Surgical Oncology. 46:240-244 |
| ISSN: | 0748-7983 |
| DOI: | 10.1016/j.ejso.2019.10.034 |
| Popis: | Background Round block mammoplasty (RBM) is a type of Oncoplastic procedure to facilitate breast conservation surgery for breast cancer. Methods Retrospective study of 270 patients who underwent this surgery. The surgical and oncological outcomes of RBM were studied. Results The median age was 61 years and median follow-up 39 months. Most cancers (59%) were screen-detected. The location of the cancer was commonly in the upper outer quadrant followed by upper inner quadrant (20%). The average tumor size was 18 mm and in 48% of patients the whole tumor size increased to 23.5 mm due to associated DCIS. The median specimen weight was 41 gm. Forty patients (14.8%) had positive margins. Postoperative complications were seen in 18 patients (6.6%). There were 4 local and 1 axillary recurrences, and 8 distant metastasis. Contralateral symmetrising surgery was required in 13 patients (4.8%). Conclusion RBM is a robust and easily adaptable technique which provides good exposure for a safe oncological excision. The surgical and oncological outcomes are good and contralateral symmetrising surgery is rarely required. |
| Databáze: | OpenAIRE |
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