The challenges of breast conservative surgery in multifocal breast cancer: The first insights from Iraq experience

Aqeel S Mahmood, Enam Azez Khalel Altameemi, Ahmed A Shakir, Samer Sabri, Mustafa Ismail
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Abstract

This article illuminates the changing landscape of managing multifocal (MF) breast cancer, specifically within the context of Iraq. Conventionally, MF breast cancer, characterized by multiple tumors within the same quadrant, has been deemed unsuitable for breast-conserving surgery (BCS) due to the perceived risk of local recurrence. However, data from our two centers in Baghdad may challenge this perspective. Of the 239 patients diagnosed with MF breast cancer in 2020, 73 underwent BCS, with only one local recurrence (1.37%), comparable to the recurrence rate in the mastectomy group (1.20%). Despite ongoing debates regarding MF breast cancer’s management and its association with higher local recurrence rates, our findings support emerging consensus on the effectiveness of BCS. Our experience from Iraq offers a unique perspective, suggesting equivalent local recurrence rates for BCS and mastectomy, necessitating a re-evaluation of surgical approaches and potentially endorsing less invasive treatments.
多灶性乳腺癌乳房保守手术的挑战:来自伊拉克经验的初步见解
这篇文章阐明了管理多灶性(MF)乳腺癌的变化景观,特别是在伊拉克的背景下。传统上,MF乳腺癌以同一象限内多发肿瘤为特征,由于局部复发的风险,被认为不适合保乳手术(BCS)。然而,我们在巴格达的两个中心的数据可能会挑战这一观点。在2020年诊断为MF乳腺癌的239例患者中,73例接受了BCS,只有1例局部复发(1.37%),与乳房切除术组的复发率(1.20%)相当。尽管关于MF乳腺癌的管理及其与高局部复发率的关系仍在争论中,但我们的研究结果支持了BCS有效性的新共识。我们在伊拉克的经验提供了独特的视角,表明BCS和乳房切除术的局部复发率相当,有必要重新评估手术方法,并可能支持微创治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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