Naslov
Criteria and procedures for breast conserving surgery

Autori
Fajdić, Josip ; Đurović, Dražen ; Gotovac, Nikola ; Stasny, Tomislav

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
European Surgery 2010 ; 42(suppl. 235) / - , 2010, 23-23

Skup
3rd Central European Congress of Surgery, Norman Barett Symposium & 5th Croatian Congress of Surgery with International Participation

Mjesto i datum
Dubrovnik, Hrvatska, 28.04.2010. - 01.05.2010

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
breast conserving surgery ; criteria and procedures

Sažetak
Background. The circumstances that determine surgical approach and using of breast conserving surgery (BCS) are not uniform. Common gold of BCS is maintaining survival that is found when more radical procedures are used. Methods. Several leading oncological protocols in the world are compared, using PubMed databases, and our own experience. Data gathered are compared to conclusions of the fifth international consensus conference of the Breast Health (Milan, 2005). Furthermore, most significant surgical contraindications found in everyday work are considered, having in mind satisfactory cosmetic effect, as well as keeping the 1cm border of „clear“ edges. Results. After observing several relevant protocols we found very high frequency of mastectomy vs. BCS, despite the fact that stage of disease was low. We also found only 20% of real medical contradictions that disabled use of BCS. Most frequent contradiction for BCS was multicentricity of the tumor (with microcalcifications), especially in ductal in situ carcinoma. Conclusions. BCS followed with irradiation and tumor free edges is standard procedure in treatment of low-stage breast cancer. This approach implies higher risk of local relapse (LR), where local relapse is not cause, but indicator of worse prognosis.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA