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乳腺保护手术中积极利的风险因素

Hussain A Abdulla¹, Basma Rajab¹, Maryam Hammad²

¹Surgery, Salmaniya Medical Complex, Manama, BHR.

|June 2, 2023

概括

年轻的患者和在位管道癌 (DCIS) 患者在乳腺保护手术 (BCS) 中面临更高的阳性边际率. 识别这些风险因素可以帮助尽量减少重复手术并改善结果.

科学领域:

在瘤学瘤学.
手术病理学手术病理学

背景情况:

乳房保护手术 (BCS) 的生存率与乳房切除术相当,但局部复发率更高.
积极的外科边缘是BCS后局部复发的关键预测因素.
尽量减少正利率对于改善BCS结果和减少重新操作至关重要.

研究的目的:

在接受BCS的乳腺癌患者中确定与积极边际相关的临床和病理风险因素.
通过了解积极边际的预测因素,为临床实践提供信息并降低重新手术率.

主要方法:

在2013年1月至2021年1月期间接受BCS的120名乳腺癌患者的回顾性分析.
包括带有剃光腔边缘的隆瘤切除术;对积极边缘的风险因素的统计分析.
多变量分析以确定积极利率的独立预测因素.

主要成果:

24%的患者在BCS后有积极的边缘.
年龄较小,瘤下部象限位置和广泛的导管内成分与正边缘有关.
管道癌 in situ (DCIS) 和年轻的年龄独立地与积极的边际有关.

结论:

管道癌 in situ (DCIS) 和较年轻的患者年龄是BCS的积极边缘的重要风险因素.
考虑腔剃须边缘和手术内涂抹可能会减少高风险患者的阳性边缘.
术前评估和患者咨询对于管理积极边际风险至关重要.

关键词:

乳腺癌乳腺癌乳腺癌乳腺保护手术是什么?这种情况是Lumpectomyomy.积极的利率是积极的利.广泛的局部切割.

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