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Organo Oficial de la Asociación Mexicana de Mastología

2020, Number 1

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Rev Mex Mastol 2020; 10 (1)

Oncoplastic surgery in breast cancer: oncological results with follow up within a period of no less than 2 years in patients

Amarante-de León G, Cardo-Huerta S, Magallanes-Garza GI, Bermeo-Ortega JC, Serrano-Peláez B, Santiago-Sánchez J

Language: Spanish
References: 16
Page: 6-12
PDF size: 244.44 Kb.


ABSTRACT

Introduction: Oncoplastic surgery is a breakthrough in breast surgery, it is established in 2 levels; level 1 excision of ‹ 20% of breast volume and level 2 encompassing mammoplasty excision techniques of 20-50% of breast volume and skin. Oncoplastic surgery (OP) is an innovation and evolution in the treatment of the early breast cancer, providing an adequate oncological response control and reflecting a high degree of satisfaction by the patients. Objective: To know the viability, to evaluate the oncological response and the aesthetic product of the techniques in oncoplastic surgery in patients with breast cancer with a follow-up of at least two years after surgery. Material and methods: A descriptive, retrospective study of the population includes patients undergoing surgery for breast cancer with the application of oncoplastic techniques. The descriptive statistics was used for the analysis, based on measures of central tendency. Results: The mean tumor size was 25 mm, 53.12%. Type 1 surgery was performed in 23 cases, 71.87%. Only 2 types of complications were recorded; hematoma in 1 case 3.12% and necrosis of the nipple in 2 cases 6.25%. The optimal surgical 2 mm were registered in 15 cases 46.87%. Regarding survival and surveillance; 31 cases 96.87% presented complete remission and remain free of regional loco recurrence in a follow-up of not less than two years post-surgical. Conclusion: Oncoplastic surgery is an option for primary treatment in patients with stage I and II breast cancer, since it allows adequate local control, preserving aesthetics, and does not modify survival, loco regional recurrences or the rate of distant metastasis.


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