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KMID : 0371319960500020186
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Journal of the Korean Surgical Society
1996 Volume.50 No. 2 p.186 ~ p.192
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Application of Various Operative Methods in Stage O, I, II Breast Cancer Patients
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Abstract
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During the six months, from July to Dec. 1993, 83 patients were diagnosed with breast cancer and underwent breast surgery in the Department of General Surgery and Plastic Surgery of Asan Medical Center.
According to the AJCC classification. 62 patients were categorized with stage O, I, II breast cancer. On these 62 patients, we evaluated the indications, complications, complications, advantages and disadvantages of various kinds surgery to
include
mastectomy, a breast conserving operation, and immediate breast reconstruction.
Sixteen patients underwent a breast conserving operation according to our indication criteria; which were: 1. stage O, I, II, 2. tumor is smaller than 3cm, 3. tumor locations is more than 2cm apart from nipple-areolar complex, 4. not a
multicentric
tumor, 5. adequate tumor/breast volume ratio, 6. no diffuse microcalcifications on mammography. Median age was 50, average tumor size was 1.9cm and there was no postoperative complication.
Among the patients who were not good candidate for breast conservation. 11 patients underwent immediate breast reconstruction after mastectomy. The operative methods used were tissue expander insertion, breast implant insertion or TRAM flap
operation.
Median age ws 33, average tumor size was 2.9cm and there were two cases with complication.
Therefore, among these 62 patients of stage O, I, II breast cancer, mastectomy was performed in 34 patients (54.8%), a breast conserving operation was performed in 16 patients (25.8%), immediate breast conserving operation was performed in 16
patients
(25.8%), immediate breast reconstruction in 11 patients (17.8%), and an other operative methods in 1 patient(1.6%).
In conclusion, routine mastectomy is not warranted in selected patient groups with stage O, I, II breast cancer. It is important to increase the quality of life of the patient by proper and prudent application of breast conserving techniques
breast
reconstruction.
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KEYWORD
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