A Lombardi, S Maggi, G Stanzani, V Vitale, L Bersigotti, C Romano, J Vittori, E Pastore, C Amanti
{"title":"Oncological outcomes in oncoplastic breast surgery: a single institution analysis.","authors":"A Lombardi, S Maggi, G Stanzani, V Vitale, L Bersigotti, C Romano, J Vittori, E Pastore, C Amanti","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Oncoplastic surgery is a well-acknowledged technique that combines conserving treatment in breast cancer with plastic surgery reconstruction. The aim of our analysis is to evaluate the safety of this surgical procedure in the setting of invasive primary breast cancer, and then compare breast oncoplastic surgery with the Veronesi quadrantectomy.We have analyzed 1541 patients who underwent breast surgery for primary breast tumor between October 2004 and May 2018 at Sant'Andrea University Hospital in Rome: 880 women experienced the breast oncoplastic approach, while 660 patients received conservative surgery alone. The median follow-up time was 14 years with a completeness of 70% (1067 pts vs 1554). The statistic comparison across these subpopulations suggested that there are no statistically significant results in term of Overall Survival, Disease Related Survival, Local recurrence or positive margins. Therefore oncoplastic surgery for primary invasive breast cancer represents a feasible procedure and an oncological safe surgical option.</p>","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 5","pages":"417-420"},"PeriodicalIF":0.4000,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Giornale di Chirurgia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Oncoplastic surgery is a well-acknowledged technique that combines conserving treatment in breast cancer with plastic surgery reconstruction. The aim of our analysis is to evaluate the safety of this surgical procedure in the setting of invasive primary breast cancer, and then compare breast oncoplastic surgery with the Veronesi quadrantectomy.We have analyzed 1541 patients who underwent breast surgery for primary breast tumor between October 2004 and May 2018 at Sant'Andrea University Hospital in Rome: 880 women experienced the breast oncoplastic approach, while 660 patients received conservative surgery alone. The median follow-up time was 14 years with a completeness of 70% (1067 pts vs 1554). The statistic comparison across these subpopulations suggested that there are no statistically significant results in term of Overall Survival, Disease Related Survival, Local recurrence or positive margins. Therefore oncoplastic surgery for primary invasive breast cancer represents a feasible procedure and an oncological safe surgical option.
肿瘤整形手术是一项公认的技术，将乳腺癌的保存治疗与整形手术重建相结合。我们分析的目的是评估这种手术方法在浸润性原发性乳腺癌中的安全性，然后将乳腺癌整形手术与Veronesi四象限切除术进行比较。我们分析了2004年10月至2018年5月在罗马圣安德烈大学医院接受原发性乳房肿瘤手术的1541名患者:880名女性接受了乳房肿瘤整形手术，而660名患者仅接受了保守手术。中位随访时间为14年，完成度为70% (1067 vs 1554)。这些亚群之间的统计比较表明，在总生存率、疾病相关生存率、局部复发率或阳性边缘方面没有统计学上显著的结果。因此，原发性浸润性乳腺癌的肿瘤整形手术是一种可行的手术方法，也是肿瘤学上安全的手术选择。
期刊介绍：
Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.
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