Local recurrence of stage 1 and 2 breast cancer after skin-sparing mastectomy and immediate breast reconstruction in a 15-year series
| Autor: | Päivi Heikkilä, K. von Smitten, Catarina Svarvar, Tuomo J. Meretoja, Tiina Jahkola, Marjut Leidenius |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Mammaplasty medicine.medical_treatment Population Breast Neoplasms Breast cancer medicine Humans Postoperative Period Stage (cooking) education Lymph node Mastectomy Aged Neoplasm Staging Retrospective Studies education.field_of_study business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Oncology Female Neoplasm Recurrence Local Breast reconstruction business Follow-Up Studies |
| Zdroj: | European Journal of Surgical Oncology (EJSO). 33:1142-1145 |
| ISSN: | 0748-7983 |
| DOI: | 10.1016/j.ejso.2007.03.022 |
| Popis: | Aims Since the introduction of skin-sparing mastectomy (SSM) in 1991 concerns on local control and recurrence rates have been discussed in the literature. The aim of this study is to examine in particular incidence of local recurrence in a 15-year consecutive series of breast cancer patients having undergone SSM and immediate breast reconstruction (IBR) at a single population-based institution. Methods One hundred and forty-six consecutive patients with either stage 1 or 2 breast cancer who underwent SSM followed by IBR from 1992 to 2006 were included in this study. A retrospective review of patient records was conducted. Results During a mean follow-up time of 51 months, four local recurrences of the native breast skin were accounted for. In addition, three regional lymph node recurrences and four systemic recurrences took place. All of the local and regional recurrences were handled by salvage surgery followed by adjuvant oncological therapies. During a mean follow-up of 35 months after the detection and treatment of the locoregional recurrences none of the patients developed new recurrences. Conclusions Our present study concludes that SSM followed by IBR seems oncologically sound procedure for stage 1 and 2 breast cancer patients. In addition, local recurrences and regional lymph node recurrences are not always associated with systemic relapse. |
| Databáze: | OpenAIRE |
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