Fifteen-year series of skin-sparing mastectomy for stage 0 to 2 breast cancer

被引:67
作者
Greenway, RM [1 ]
Schlossberg, L [1 ]
Dooley, WC [1 ]
机构
[1] Univ Oklahoma, Hlth Sci Ctr, OU Breast Inst, Oklahoma City, OK 73104 USA
关键词
breast cancer; skin-sparing mastectomy; breast reconstruction;
D O I
10.1016/j.amjsurg.2005.08.035
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: In 1989, skin-sparing mastectomy started at a number of breast centers in the United States because of an increasing demand for immediate reconstruction and a desire for better cosmetic outcomes. Methods: To ensure the safety of this new approach, we have reviewed the personal series of a single surgeon using a standardized skin-sparing technique during 1989 to 2004. Results: Skin-sparing mastectomy with immediate reconstruction was performed on 225 patients, and standard mastectomy was performed on 1,022 patients. The age distribution was 8 years younger on average in the reconstructed group. The average follow-up for each group was 49 months. The local recurrence for each group was 1.7% and 1.5% (P > .80). The regional recurrence was 3.8% and 3.9% (P > .80). The average time to local recurrence was similar in each group (33.1 and 32.6 months, P > .80). Conclusions: A skin-sparing mastectomy does not change the local, regional, or systemic risk to breast cancer patients. (c) 2005 Excerpta Medica Inc. All rights reserved.
引用
收藏
页码:918 / 922
页数:5
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