History of surgery for breast cancer: radical to the sublime

Cotlar, Alvin M.; DuBose, Joseph J.; Rose, David M.

doi:10.1016/s0149-7944(02)00777-8

Cited by 57 publications

(46 citation statements)

References 26 publications

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“…Radiotherapy is still one of the most beneficial treatments to increase survival in many types of breast cancer (94,95). Radiotherapy inevitably damages the tissue, and, as long as the modus of radiotherapy is unchanged, post-radiation breast reconstruction will be more challenging.…”

Section: Discussionmentioning

confidence: 99%

Patient determinants as independent risk factors for postoperative complications of breast reconstruction

et al. 2017

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being, health-related quality of life and satisfaction (5,7-10).Patients' satisfaction and health-related quality of life are frequently used as parameters for outcome measurement in plastic surgery. Postoperative complications after breast reconstruction are common and affect patient satisfaction.Determining independent risk factors using patient characteristics could be advantageous for patient assessment and counseling. 2.05, 95% confidence interval (CI) 1.25-3.37, P=0.0005], followed by body mass index (BMI) (OR 1.07, 95% CI 1.01-1.13, P=0.017). High BMI was associated with the highest number of late overall postoperative complications (OR 1.06, 95% CI 1.00-1.11, P=0.042), followed by history of radiotherapy (OR 1.66, 95% CI 1.01-2.74, P=0.046). When the risk factors were combined, the risk for postoperative complications rose exponentially.Conclusions: Our results provide evidence that patients should cease smoking and overweight patients should lose weight before undergoing breast reconstruction. Additionally, if the patient has received radiotherapy, the reconstruction method should be carefully chosen. High BMI, history of radiotherapy, and smoking are independent risk factors for many types of both early and late postoperative complications in breast reconstructive surgery. Combining these risk factors multiplies the risk of postoperative complications.

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Section: Discussionmentioning

confidence: 99%

Patient determinants as independent risk factors for postoperative complications of breast reconstruction

et al. 2017

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“…The advantages and disadvantages of each procedure have been extensively discussed [12]. Radical surgeries were thoroughly performed on women with mammary tumors between 1910 and 1964, without any clinical benefits [13] [14]. As from the 1950's, Halsted's mastectomy started to be questioned [11], however, the lack of clinical benefits of the radical mastectomy was only proved by the end of the 1970's [10].…”

Section: Introductionmentioning

confidence: 99%

Influence of Surgical Technique on Overall Survival, Disease Free Interval and New Lesion Development Interval in Dogs with Mammary Tumors

Horta¹,

Lavalle²,

Cunha³

et al. 2014

ABCR

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The best surgical technique for the treatment of mammary tumors in female dogs has been exhaustively debated among the scientific community. Despite biological knowledge of these tumors, some authors have suggested aggressive procedures, without any clinical advantage. The aim of this study was to evaluate the influence of surgical procedure on the overall survival, disease-free interval and new lesion development interval in dogs with mammary tumors treated according to established prognostic factors. This prospective study included 143 intact female dogs that underwent surgery for mammary neoplasms and were followed up for about 738.5 days. Each animal represented a repetition. Each surgical technique represented a group: lumpectomy (P1), mammectomy (P2), regional mastectomy without cranial abdominal gland involvement (P3), regional mastectomy with cranial abdominal gland involvement (P4), and radical mastectomy (P5). Considering only the first surgical event, 84.6% of animals had more than one mammary tumor, and tumors were identified in two mammary chains in 52.5%. There was no difference in ipsilateral and contralateral tumor development when surgical techniques were compared. Only 33 dogs developed new lesions in remaining mammary tissue, without correlation with primary lesion. Surgical technique had no effect on the overall survival, diseasefree interval and new lesion development interval in patients on this study, which respected oncological surgery principles and established prognostic factors for mammary gland tumors in dogs.

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“…Patey introduziu a cirurgia associada à exérese do peitoral menor, enquanto Madden desenvolveu a técnica que preserva ambos os peitorais. Com a introdução destas novas técnicas os médicos começaram a comparar e avaliar os resultados entre a mastectomia radical e os procedimentos mais conservadores (Champaneria, Wong, Hill, & Gupta, 2012;Cotlar, Dubose, & Rose, 2003).…”

Section: Tipos De Tratamento Cirúrgicounclassified

Qualidade de vida e a cirurgia em cancro da mama: revisão narrativa da literatura

Eberhardt

Lins

2017

CES Psico

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History of surgery for breast cancer: radical to the sublime

Cited by 57 publications

References 26 publications

Patient determinants as independent risk factors for postoperative complications of breast reconstruction

Patient determinants as independent risk factors for postoperative complications of breast reconstruction

Influence of Surgical Technique on Overall Survival, Disease Free Interval and New Lesion Development Interval in Dogs with Mammary Tumors

Qualidade de vida e a cirurgia em cancro da mama: revisão narrativa da literatura

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