ISSN: 2630-5720 | E-ISSN: 2687-346X
Laparoscopic Endoscopic Surgical Science Breast-Conserving Surgery for Breast Cancer [Haydarpasa Numune Med J]
Haydarpasa Numune Med J. 2024; 64(1): 55-60 | DOI: 10.14744/hnhj.2022.31644

Breast-Conserving Surgery for Breast Cancer

Murat Tan1, Ali Deneçli2
1Department of General Surgery, Istanbul Demiroglu Bilim University, Istanbul, Turkiye
2Department of General Surgery, Izmir Training and Research Hospital, Izmir, Turkiye

INTRODUCTION: Breast cancer is notably significant as it is the most common cancer in women. Recent findings indicate that breast-conserving surgery (lumpectomy and axillary dissection) in early-stage breast cancer offers a long disease-free period and comparable overall survival to those undergoing mastectomy. This highlights the potential preference for breast-conserving surgery in early-stage breast cancers.
METHODS: This study included 26 patients diagnosed with breast cancer at the SSK Izmir Training and Research Hospital General Surgery Service between 20/02/2001 and 11/11/2004. Factors such as medical considerations, cosmetic results, patient age, patient preference, mammographic findings, tumor size and number, condition of axillary lymph nodes, and histopathological findings were considered. Breast-conserving surgery was performed, followed by a retrospective analysis of these patients.
RESULTS: This study analyzed local control and survival outcomes in 26 patients diagnosed with early-stage (Stage 1-11) breast cancer, with a median follow-up of 3.9 years between 20/02/2001 and 11/11/2004. The median follow-up period for the patients was 45 months. Quadrantectomy+axillary dissection was performed in 20 patients, and Lumpectomy+axillary dissection in 6 patients. All 26 patients received radiotherapy with a dose of 46-50 Gy (2 Gy/day).
DISCUSSION AND CONCLUSION: Reviewing the article with current publications, Lancet in December 2019 supports whole breast irradiation after breast-conserving surgery for early-stage breast cancer. A 2011 randomized controlled trial reported excellent long-term outcomes for invasive ipsilateral breast tumor recurrences following lumpectomy, particularly after radiation therapy and tamoxifen-sparing surgery. These findings strongly suggest that breast-conserving surgery combined with radiotherapy is equivalent to mastectomy.

Keywords: Breast cancer, breast-conserving surgery, radiation therapy.

Murat Tan, Ali Deneçli. Breast-Conserving Surgery for Breast Cancer. Haydarpasa Numune Med J. 2024; 64(1): 55-60

Corresponding Author: Murat Tan, Türkiye
Manuscript Language: English
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