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[Day surgery for breast cancer]
K Takahashi1, M Saito, M Makita
1Department of Breast Surgery, Cancer Institute Hospital, Tokyo, Japan.
Nihon Geka Gakkai Zasshi
|December 7, 2000
Summary
Probe lumpectomy, a day surgery for breast cancer in Japan, allows outpatient treatment for noninvasive cases. This method avoids hospitalization and general anesthesia for eligible patients, demonstrating safety and efficacy.
Area of Science:
- Oncology
- Surgical Oncology
- Pathology
Context:
- Day surgery for breast cancer is common in Japan, typically involving partial mastectomy without axillary dissection under local anesthesia.
- The
- probe lumpectomy
- procedure involves outpatient partial mastectomy for small breast carcinomas, with hospitalization avoided if margins are clear and cancer is noninvasive.
Purpose:
- To evaluate the safety and outcomes of "probe lumpectomy" for early-stage breast cancer treated in an outpatient setting.
- To assess the feasibility of completing breast cancer treatment without hospitalization for select patients.
Summary:
- 169 patients underwent probe lumpectomy between 1991 and 1998 with no major complications.
- 64 out of 169 patients (37.9%) did not require hospitalization.
- Two cases of ipsilateral breast cancer were identified as second primary tumors, not recurrence. No distant metastases were observed.
Impact:
- Probe lumpectomy offers a safe and effective outpatient treatment option for eligible breast cancer patients, potentially reducing healthcare costs and improving patient convenience.
- The expansion of day surgery for breast cancer may be facilitated by advancements like sentinel node biopsy, though careful patient selection and follow-up remain crucial.