Results of breast-conserving surgery in cancer patient

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Kamila Rakhimova
Advisor: M. N. Shepet’ko, MD PhD, Associate Professor
Results of breast-conserving surgery in cancer patient

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Results of breast-conserving surgery in cancer patient

  1. 1. Kamila RakhimovaAdvisor:M.N.Shepet’ko,MD PhD,Associate ProfessorResults of breast-conservingsurgery in cancer patient
  2. 2. TopicalityMastectomy-all of the breast tissue isremoved, sometimesalong with other nearbytissues and lymphaticnodesSegmental resection-removes a part of the affectedbreast (less traumatic, keepsaesthetic appearance, betterquality of life)Surgery results
  3. 3. MissionCompare effectiveness of segmental resection versus Maddenmastectomy in breast cancer (BC) women.
  4. 4. Materials and methods:Study 136 patients historyHospital Minsk Clinical Oncology DispensaryDuration Years 2009-2013BeginningEndDate of surgeryMarch, 2013Assessment Disease stage, surgery tactic, adjuvant therapy, incidence ofrecurrence, metastasis, mortality.
  5. 5. Results and discussionsStatistics matching in clinical groupsGroups Segmental resection MastectomyTotal number 97 39Age 56±20 (36÷83) 59±16 (37÷75)Radio Therapy (RT) in thebreast location97 39RT in axillar ( under arm)zone32 39
  6. 6. Results and discussions IIChemotherapy Segmental resection MastectomyTotal 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 2Statistics matching in clinical groups
  7. 7. Results and discussions IIIBC stage Complications Segmental resection97 patientsMadden mastectomy39 patientsNumber ofpatients% Number ofpatients%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 2,6Metastasis 6 12 3 7,7Mortality* 1 2,8 0 0III A-С Recurrence in the scar * 2 20 - -Metastasis* 5 38,5 - -Mortality* 2 15,4 - -*- statistic significance ≤0,05рIncidence of complications in BC surgery patients
  8. 8. Results and discussions IVType of surgery Total number ofsurvivals, with nometastasis andrecurrence in %Survival withno recurrencein %Survival with nometastasis in %Segmentalresection*77,3 94,8 85,6MaddenMastectomy*89,7 97,4 92,3*- statistic significance p≤0,05
  9. 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 segmentalresection performed the results cannot be statisticallyconsidered.• Survivals number after Madden mastectomy in theconditions of this study with no metastasis and recurrenceprove maximum radicalism justified.
  10. 10. Thanks for attention!

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