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Kamila Rakhimova
Advisor:
M.N.Shepet’ko,MD PhD,Associate Professor
Results of breast-conserving
surgery in cancer patient
Topicality
Mastectomy-
all of the breast tissue is
removed, sometimes
along with other nearby
tissues and lymphatic
nodes
Segmental resection-
removes a part of the affected
breast (less traumatic, keeps
aesthetic appearance, better
quality of life)
Surgery results
Mission
Compare effectiveness of segmental resection versus Madden
mastectomy in breast cancer (BC) women.
Materials and methods:
Study 136 patients history
Hospital Minsk Clinical Oncology Dispensary
Duration Years 2009-2013
Beginning
End
Date of surgery
March, 2013
Assessment Disease stage, surgery tactic, adjuvant therapy, incidence of
recurrence, metastasis, mortality.
Results and discussions
Statistics matching in clinical groups
Groups Segmental resection Mastectomy
Total number 97 39
Age 56±20 (36÷83) 59±16 (37÷75)
Radio Therapy (RT) in the
breast location
97 39
RT in axillar ( under arm)
zone
32 39
Results and discussions II
Chemotherapy Segmental resection Mastectomy
Total number of patient 84 (86,6%) 38 (97,4%)
3 courses 5 (5,2%) 0 (0 %)
4 courses 23 (23,7%) 7 (17,9 %)
5 courses 19 (19,6%) 6 (15,4%)
6 courses 36 (37,1%) 23 (59%)
Additional courses 1 2
Statistics matching in clinical groups
Results and discussions III
BC stage Complications Segmental resection
97 patients
Madden mastectomy
39 patients
Number of
patients
% Number of
patients
%
I A-B Recurrence in the scar 2 4,1 - -
Metastasis 3 6,2 - -
Mortality 0 0 - -
II A-B Recurrence in the scar 1 4 1 2,6
Metastasis 6 12 3 7,7
Mortality* 1 2,8 0 0
III A-С Recurrence in the scar * 2 20 - -
Metastasis* 5 38,5 - -
Mortality* 2 15,4 - -
*- statistic significance ≤0,05р
Incidence of complications in BC surgery patients
Results and discussions IV
Type of surgery Total number of
survivals, with no
metastasis and
recurrence in %
Survival with
no recurrence
in %
Survival with no
metastasis in %
Segmental
resection*
77,3 94,8 85,6
Madden
Mastectomy*
89,7 97,4 92,3
*- statistic significance p≤0,05
Conclusions:
• Madden mastectomy, assuming all other conditions equal,
revealed less recurrence, metastasis and mortality.
• While the research got in stage I A-B only the segmental
resection performed the results cannot be statistically
considered.
• Survivals number after Madden mastectomy in the
conditions of this study with no metastasis and recurrence
prove maximum radicalism justified.
Thanks for attention!

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Results of breast-conserving surgery in cancer patient

  • 1. Kamila Rakhimova Advisor: M.N.Shepet’ko,MD PhD,Associate Professor Results of breast-conserving surgery in cancer patient
  • 2. Topicality Mastectomy- all of the breast tissue is removed, sometimes along with other nearby tissues and lymphatic nodes Segmental resection- removes a part of the affected breast (less traumatic, keeps aesthetic appearance, better quality of life) Surgery results
  • 3. Mission Compare effectiveness of segmental resection versus Madden mastectomy in breast cancer (BC) women.
  • 4. Materials and methods: Study 136 patients history Hospital Minsk Clinical Oncology Dispensary Duration Years 2009-2013 Beginning End Date of surgery March, 2013 Assessment Disease stage, surgery tactic, adjuvant therapy, incidence of recurrence, metastasis, mortality.
  • 5. Results and discussions Statistics matching in clinical groups Groups Segmental resection Mastectomy Total number 97 39 Age 56±20 (36÷83) 59±16 (37÷75) Radio Therapy (RT) in the breast location 97 39 RT in axillar ( under arm) zone 32 39
  • 6. Results and discussions II Chemotherapy Segmental resection Mastectomy Total number of patient 84 (86,6%) 38 (97,4%) 3 courses 5 (5,2%) 0 (0 %) 4 courses 23 (23,7%) 7 (17,9 %) 5 courses 19 (19,6%) 6 (15,4%) 6 courses 36 (37,1%) 23 (59%) Additional courses 1 2 Statistics matching in clinical groups
  • 7. Results and discussions III BC stage Complications Segmental resection 97 patients Madden mastectomy 39 patients Number of patients % Number of patients % I A-B Recurrence in the scar 2 4,1 - - Metastasis 3 6,2 - - Mortality 0 0 - - II A-B Recurrence in the scar 1 4 1 2,6 Metastasis 6 12 3 7,7 Mortality* 1 2,8 0 0 III A-С Recurrence in the scar * 2 20 - - Metastasis* 5 38,5 - - Mortality* 2 15,4 - - *- statistic significance ≤0,05р Incidence of complications in BC surgery patients
  • 8. Results and discussions IV Type of surgery Total number of survivals, with no metastasis and recurrence in % Survival with no recurrence in % Survival with no metastasis in % Segmental resection* 77,3 94,8 85,6 Madden Mastectomy* 89,7 97,4 92,3 *- statistic significance p≤0,05
  • 9. Conclusions: • Madden mastectomy, assuming all other conditions equal, revealed less recurrence, metastasis and mortality. • While the research got in stage I A-B only the segmental resection performed the results cannot be statistically considered. • Survivals number after Madden mastectomy in the conditions of this study with no metastasis and recurrence prove maximum radicalism justified.