2019, Number 3
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Mul Med 2019; 23 (3)
Locoregional Relapse in Oncoplastic Surgery of the Breast
Arias AA, Vargas OJM, Díaz PYE, Rubio HMC, Sánchez VHJ
Language: Spanish
References: 11
Page: 474-489
PDF size: 213.39 Kb.
ABSTRACT
Introduction: between 10 and 20% of patients with breast cancer will have recurrent localized disease of the breast. The oncoplastic techniques consist of approaches and resection strategies that allow the extirpation of large volumes of breast preserving the morphology and aesthetics of the breast.
Objective: to describe the main variables related to the appearance of relapses, in patients undergoing oncoplastic surgery, as part of the surgical treatment in breast cancer, at the Institute of Oncology and Radiobiology (INOR). 2012-2017.
Method: cross-sectional and ambispective descriptive study of the fundamental variables that are related to the appearance of locoregional recurrences in patients treated with oncoplastic techniques.
Results: a total of 111 patients were studied, the most used oncoplastic technique was that of Weiner, with 5.4% of locoregional relapses related to triple negative patients and the majority occurred after 2.5 years.
Conclusions: loco regional relapses were presented in a low percentage, being more frequent in the CDI, triple negative patients, and treated with adjuvant chemotherapy and showed no relationship with age, clinical stage, neoadjuvant chemotherapy, the use of hormone therapy and immunotherapy, and the oncoplastic technique used.
REFERENCES
Echavarría Jiménez Y, Ramón Ramírez J, Fernández Saravia P, Portelles Cruz A, Cedeño Miranda A. Cirugía oncoplástica de la mama de pacientes atendidas en el Hospital Vladimir Ilich Lenin. CCM 2015; 19(4): 667-679.
Hernández Durán D, Díaz Mitjans O, Abreu Vázquez MR. Un análisis de largo plazo del comportamiento de la cirugía conservadora del cáncer de mama. Rev Cubana Obstet Ginecol 2012; 38(1): 117-133.
Mahdi Rezai, Stefan Kraemer, Rainer Kinning. Breast conservative surgery and local recurrence. The Breast 2015; 24(Suppl 2): 100-107.
Ministerio de Salud Pública. Anuario Estadístico de Salud 2013. [Internet] La Habana: Organización Panamericana de la Salud; 2014 [citado 15/10/2015]. Disponible en: http://files.sld.cu/dne/files/2014/05/anuario-2013-esp-e.pdf
Leberfinger AN, Behar BJ, Williams NC, Rakszawski KL, Potochny JD, Mackay DR, Ravnic DJ. Breast implant-associated anaplastic large cell lymphoma: a systematic review. JAMA Surgery 2017; 152(12): 1161-1168.
Brito Sosa G, Pérez Braojos IM. Cirugía conservadora en el cáncer de mama. Rev Cubana Cir 2014; 53(2): 201-212.
Mehrara BJ, Ho AY. Breast Reconstruction. In: Harris JR, Lippman ME, Morrow M, Osborne CK, eds. Diseases of the Breast. 5th ed. Philadelphia: Wolters Kluwer Health; 2014.
Jordan SW, Khavanin N, Kim JY. Seroma in prosthetic breast reconstruction. Plastic and Reconstructive Surgery 2016; 137(4): 1104-1116.
Navarro Martínez JJ, Navarro Campos B C, Navarro Campos L J. Cirugía conservadora en cáncer de mama con técnica de reducción en mamas voluminosas. Rev Venez Oncol 2016; 28(2): 78-86.
Sherwell-Cabello S, Maffuz- Aziz A, Villegas FC. Factibilidad y resultado estético de la cirugía oncoplastica en el tratamiento del cáncer de mama. Cir Cir 2015; 83(3): 199-205.
Acea Nebril B, Cereijo Gorea C. The role of oncoplastic breast reduction in the conservative management of breast cáncer: Complication, survival, and quality of life. J Surg Oncol 2017; 115(6): 679-86.