Document Detail

Long-term oncological results of breast conservative treatment with oncoplastic surgery.
MedLine Citation:
PMID:  17376687     Owner:  NLM     Status:  MEDLINE    
Oncoplastic surgery combining breast conservative treatment (BCT) and plastic surgery techniques may allow more extensive breast resections and improve aesthetic outcomes, but no long-term oncological results have been published. Long-term oncologic results of 148 consecutive BCT with concomitant bilateral plastic surgery have been analysed and were compared to historical data of BCT trials. Median follow-up was 74 months. Complete excision was obtained in 135 patients (91%); focally involved margins in 8 (5%); and close (<2 mm) margins in 5 (3%). Five patients developed ipsilateral recurrence (3%), 19 (13%) developed distant metastasis and 11 patients died (7.53%). Patients with tumours larger than 2 cm were at greater risk of local recurrences and distant metastasis. Long-term oncologic results of BCT with oncoplastic surgery are comparable with the results of BCT randomized trials.
M Rietjens; C A Urban; P C Rey; G Mazzarol; P Maisonneuve; C Garusi; M Intra; S Yamaguchi; N Kaur; F De Lorenzi; A G Z Matthes; S Zurrida; J Y Petit
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Publication Detail:
Type:  Journal Article     Date:  2007-03-26
Journal Detail:
Title:  Breast (Edinburgh, Scotland)     Volume:  16     ISSN:  0960-9776     ISO Abbreviation:  Breast     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-06     Completed Date:  2007-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9213011     Medline TA:  Breast     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  387-95     Citation Subset:  IM    
Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Milan, Italy.
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MeSH Terms
Breast Neoplasms / mortality,  pathology,  surgery*
Follow-Up Studies
Lymph Node Excision
Mastectomy, Segmental*
Middle Aged
Time Factors
Treatment Outcome

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