Home AHEAD OF PRINT Gennaio 2017 Surgical approach for ulcerated locally advanced breast cancer. A single center experience: a retrospective study
Decrease font size  Default font size  Increase font size 
Info: Il tuo browser non accetta i cookie. Se vuoi utilizzare il carrello e fare acquisti devi abilitare i cookie.
E-mail
Bio-Engineering tissue and V.A.C. therapy: A new method for the treatment of extensive necrotizing infection in the diabetic footMultiple enlarged lymph nodes in axilla: A case report of Merkel Cell Carcinoma

Surgical approach for ulcerated locally advanced breast cancer. A single center experience: a retrospective study

Surgical approach for ulcerated locally advanced breast cancer. A single center experience: a retrospective study

Costo per la stampa di una copia: €25.00


Rita Laforgia, Clelia Punzo, Annunziata Panebianco, Annalisa Volpi, Marina Minafra, Maria Grazia Sederino
Ann Ital Chir, Digital Edition 2017; Epub Ahead of Print - Jan. 12

AIM: The aim of our retrospective study is to analyze surgical possibilities for the extended LABC in those cases not suitable
for a neoadjuvant chemotherapy step and to consider various reconstruction techniques.
MATERIAL OF STUDY: Between 2009 and 2015 we enrolled 11 patients, admitted to the Emergency Department, presenting
ulcerated LABC that needed palliative surgical demolitive procedures because of bleeding and anemia and in
which was necessary to use natural tissues transposition or synthetic substitutes for the reconstruction of the skin flaps.
RESULTS: The mean follow up was 12 months. Mortality rate was 82% (9 patients); in 2 cases there was local relapse
after 6 months; 9 months was the longest disease free survival.
DISCUSSION: Thanks to multidisciplinary strategies LABC’s surgical treatment improved results with a five-year survival
rate between 30-40% and better quality of survival. Despite extended demolitive approach, there is still a 50% of death
because of metastases.
CONCLUSIONS: Our results confirm that musculocutaneous flap, skin anterior thigh grafts, bilayer matrix wound dressing
are excellent reconstructive strategies in locally advanced ulcerated breast cancer after aggressive extended surgery even
if palliative to improve patients’ further survival. Our data also showed that those patients presenting medium level of
malignancy as “luminal b” subtype (7 patients) if treated earlier with a radical surgical procedure would have better
prognosis.





Recensione del lettore:

Nessuna recensione disponibile per questo articolo.
Autenticati per poter scrivere una recensione.












Created By Ad Hoc Solution - adhocs.it - Comunicazione | Eventi | Grafica | Web


Cerca in Pub Med

Pub Med

Avviso Importante


Pannello utente






Annali Italiani di Chirurgia è la rivista ufficiale della S.I.C.U.T.

Annali Italiani di Chirurgia è la rivista ufficiale della S.I.C.U.

Societa Italiana Flebologia S.I.F.