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[Breast saving or modified radical mastectomy in oncologic breast surgery?]
1Frauenklinik, Pius-Hospitals, Oldenburg.
Zeitschrift Fur Lymphologie. Journal of Lymphology
|December 1, 1994
Summary
Bilateral subcutaneous reduction mastectomy offers psychosocial benefits and comparable outcomes to modified radical mastectomy for breast cancer. While local recurrence was higher in the non-radical group, disease-free survival and mortality rates were similar.
Area of Science:
- Oncology
- Surgical Oncology
- Breast Cancer Research
Background:
- Bilateral subcutaneous reduction mastectomy (BSRM) is a breast-saving technique for multifocal breast tumors or ptosis.
- Modified radical mastectomy (MRM) is a standard treatment for breast cancer.
Purpose of the Study:
- To compare the oncological outcomes and recurrence rates between MRM and BSRM.
- To evaluate BSRM as a potential alternative surgical treatment for breast carcinoma.
Main Methods:
- Retrospective study of 160 patients undergoing either MRM or BSRM.
- Comparison of local recurrence rates, disease-free survival, and mortality rates between the two surgical groups.
Main Results:
- A significantly higher local recurrence rate was observed in the non-radical (BSRM) group compared to the MRM group.
- No statistically significant differences were found in disease-free interval or late mortality rates between the two groups.
Conclusions:
- BSRM demonstrates comparable disease-free interval and late mortality rates to MRM.
- The psychosocial benefits of BSRM, combined with comparable oncological outcomes, suggest it as a viable alternative surgical option for breast carcinoma treatment.