Biopsia del linfonodo sentinella in anestesia locale nel trattamento del carcinoma mammario

Punzo, C. and Borzacchini, A. and Lspalluti, Michele and Forte, M.G. and Giungato, S. and Lozito, C. and Palasciano, Nicola (2009) Biopsia del linfonodo sentinella in anestesia locale nel trattamento del carcinoma mammario. Il giornale di chirurgia, 30 (5 Supp). pp. 19-21. ISSN 1971-145X

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Aim: Validation of oncological and reconstructive effectiveness of Nipple Sparing Mastectomy in patients affected by DCIS. Methods: Seven patients affected by DCIS, fulfilling appropriate reconstructive and oncological criteria to undergo nipple sparing subcutaneous mastectomy. The technique was offered to each women without cancerous cells at frozen section in the major ducts. All operations were performed with a two stage technique with temporary expanders and permanent implants. A contra-lateral adjustment was performed whenever required. Results: All patients were alive after a median follow-up of 5.5 years and free of disease. No patients had recurrences either in the nipple areola complex and in the cutaneous flaps. In two cases with large breast and border-line indication to the technique, we observed a partial necrosis of the nipple-areola, in a bilateral case both the expanders had to be removed for flap necrosis. Conclusions: Nipple Sparing mastectomy is a potentially safe technique even in DCIS patients with a long term follow-up. The reconstructive indications need to be carefully selected to avoid increased complications.

Item Type: Article
Uncontrolled Keywords: Breast cancer, Sentinel lymph node biopsy, local anestesi
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 08 Feb 2016 15:38
Last Modified: 08 Feb 2016 15:38

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