Breast Cancer Surgery - Historical Evolution, Current Status and Future Perspectives

Sakorafas, George H.

doi:10.1080/028418601750070984

Cited by 47 publications

(30 citation statements)

References 139 publications

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“…Although radical and modified radical mastectomies are both effective, they accompanied a huge psychological burden. Therefore, conservative procedures were put forward as alternative choices [8]. Studies demonstrate that the overall disease-free survival from BC is equivalent for mastectomy and BCT along with postoperative radiotherapy; especially in women with early stage BC (Stages I and II) [8].…”

Section: Resultsmentioning

confidence: 99%

From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

et al. 2013

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Surgical management of breast cancer has evolved considerably over the last two decades. There has been a major shift toward less-invasive local treatments, from radical mastectomy to breast-conserving therapy (BCT) and oncoplastic breast surgery (OBS). In order to investigate the efficacy of each of the three abovementioned methods, a literature review was conducted for measurable outcomes including local recurrence, survival, cosmetic outcome, quality of life (QOL), and health economy. From the point of view of oncological result, there is no difference between mastectomy and BCT in local recurrence rate and survival. Long-term results for OBS are not available. The items assessed in the QOL sound a better score for OBS in comparison with mastectomy or BCT. OBS is also associated with a better cosmetic outcome. Although having low income seems to be associated with lower BCT and OBS utilization, prognosis of breast cancer is worse in these women as well. Thus, health economy is the matter that should be studied seriously. OBS is an innovative, progressive, and complicated subspeciality that lacks published randomized clinical trials comparing surgical techniques and objective measures of outcome, especially from oncologic and health economy points of view.

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Section: Resultsmentioning

confidence: 99%

From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

et al. 2013

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“…[34][35][36] As per some recent reports, BCS has become the preferred method of treatment for many patients. [37,38] The reasons supporting this conservatism are (1) earlier diagnosis through mammographic screening, (2) development of image-guided CNB, and (3) advent of state-ofthe-art Radiotherapy Units. [35] However, in our study only one patient underwent BCS.…”

Section: Discussionmentioning

confidence: 99%

Profile of breast cancer patients at a tertiary care hospital in north India

et al. 2010

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Modified radical mastectomy was found to be a safe operative procedure. Breast conservative surgery, although considered the gold standard in early breast cancer, was found unsuitable for our patients, due to the social background and lack of intensive radiotherapy and chemotherapy backup. Infiltrating duct carcinoma was more commonly associated with positive lymph nodes compared to other histopathologies. Cases operated by surgical oncologists had better axillary clearance. Neoadjuvant chemotherapy was used mainly by surgical oncologists suggesting a more rational approach toward the management of breast carcinoma.

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“…O ideal para uma cirurgia bem sucedida é alcançar um resultado estético aceitável, tanto para o paciente como para o médico 11 . O resultado estético insatisfatório está relacionado a uma série de fatores, alguns relacionados ao próprio tratamento realizado, como por exemplo, reintervenções para obtenção de margens livres, seroma pós-operatório e radioterapia 12 , e outros relacionados às características das pacientes, como idade mais jovem, índice de massa corporal (IMC) elevado, tumores grandes, tumores localizados nos quadrantes súpero-medial e ínfero-lateral 11 e mamas pequenas 13 .…”

Section: Resultados Estéticosunclassified

Avaliação dos resultados estéticos e de qualidade de vida após tratamento cirúrgico do câncer de mama

Santos¹,

Úrban²,

Edelweiss³

et al. 2013

Rev. Bras. Mastol.

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RESUMONos últimos anos, observamos tratamentos cada vez mais conservadores, tanto na mama, como na axila, com uma ampliação nos critérios de cirurgias conservadoras, associação das técnicas de oncoplástica, tratamentos radioterápicos mais direcionados e tratamentos quimioterápicos e hormonais menos agressivos. Todos esses esforços têm como objetivo central melhorar os resultados estéticos e a qualidade de vida das pacientes com câncer de mama. Portanto, tanto a avaliação dos resultados estéticos como da qualidade de vida podem auxiliar os profissionais de saúde e as pacientes nas tomadas de decisões e na abordagem de problemas específicos. Entretanto ainda existem limitações importantes nos métodos existentes de avaliação e o objetivo desta revisão foi apresentar os mesmos, bem como trazer suas principais vantagens e dificuldades para sua aplicação. ABSTRACT In the past years, it is observed that breast cancer treatment is becoming more conservative in the breast

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Breast Cancer Surgery - Historical Evolution, Current Status and Future Perspectives

Cited by 47 publications

References 139 publications

From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

Profile of breast cancer patients at a tertiary care hospital in north India

Avaliação dos resultados estéticos e de qualidade de vida após tratamento cirúrgico do câncer de mama

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