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Titolo:
SUBCUTANEOUS MASTECTOMY FOR PRIMARY BREAST-CANCER AND DUCTAL CARCINOMA IN-SITU
Autore:
CHEUNG KL; BLAMEY RW; ROBERTSON JFR; ELSTON CW; ELLIS IO;
Indirizzi:
UNIV HONG KONG,QUEEN MARY HOSP,DEPT SURG HONG KONG HONG KONG CITY HOSP,PROFESSORIAL SURG UNIT NOTTINGHAM NG5 1PB ENGLAND
Titolo Testata:
European journal of surgical oncology
fascicolo: 4, volume: 23, anno: 1997,
pagine: 343 - 347
SICI:
0748-7983(1997)23:4<343:SMFPBA>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
RECURRENCE;
Keywords:
SUBCUTANEOUS MASTECTOMY; INVASIVE BREAST CANCER; DUCTAL CARCINOMA IN SITU; LOCAL RECURRENCE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
K.L. Cheung et al., "SUBCUTANEOUS MASTECTOMY FOR PRIMARY BREAST-CANCER AND DUCTAL CARCINOMA IN-SITU", European journal of surgical oncology, 23(4), 1997, pp. 343-347

Abstract

Subcutaneous mastectomy (SCM) has been performed in 323 patients withinvasive breast cancer or ductal carcinoma in situ (DCIS) over the last 20 years, This paper assesses the oncological safety of this operation with particular reference to local recurrences (LR) in the skin flaps, LR was assessed in the 134 patients who did not receive post-operative irradiation to the flaps and were followed up for a minimum of 30 months, The rates of CR were similar for SCM (16%) and for women whounderwent simple mastectomy without post-operative irradiation (SM) for invasive cancer (14%) over the same time period, both overall and after prognostic stratification. In DCIS LR was only found in women treated with SCM. Four of the five recurrences (from 33 women) were in the nipple and later in the series patients with microscopic tumour involvement in the nipple received prophylactic irradiation to the nipple only; five patients treated in this may have not suffered LR, Subcutaneous mastectomy followed by insertion of a prosthesis is a safe alternative to mastectomy, since it carries no higher risk of LR, It is the simplest form of reconstruction in those proceeding to silicone implant and has the potential of achieving an excellent cosmetic result, Failure does not compromise the chance of more complex reconstruction procedures.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 00:28:28