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Master's Dissertation
DOI
10.11606/D.5.2006.tde-13092006-141942
Document
Author
Full name
Angela Francisca Trinconi
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2006
Supervisor
Committee
Pinotti, Jose Aristodemo (President)
Brenelli, Henrique Benedito
Fonseca, Angela Maggio da
Title in Portuguese
"Evolução oncológica de pacientes com carcinoma avançado de mama submetidas à reconstrução mamária imediata"
Keywords in Portuguese
Carcinoma ductal de mama
Mastectomia radical
Retalhos cirúrgicos
Sobrevivência
Sobrevivência livre de doença
Tempo de internação
Terapia neoadjuvante
Abstract in Portuguese
Estudo retrospectivo de 119 pacientes com diagnóstico de adenocarcinoma ductal invasivo no estádio clínico III tratadas com quimioterapia neoadjuvante (FEC), mastectomia e adjuvância. Destas, 85 optaram por reconstrução mamária imediata (RMI) com retalho transverso músculo-cutâneo de reto-abdominal e 34, não. Com seguimento médio de 52,7 meses avaliou-se o tempo de hospitalização, a inter-relação com a adjuvância, recidiva local, o tempo livre de doença e o tempo total de sobrevida, concluindo-se que, apesar de aumentar o tempo de hospitalização, a RMI não interfere com os demais ítens, podendo ser indicada para pacientes portadoras de carcinoma mamário em estádio clínico avançado
Title in English
Oncologic progression of patients with advanced breast carcinoma undergoing immediate breast reconstruction
Keywords in English
Carcinoma ductal breast
Disease-free survival
Length of stay
Mastectomy radical
Neoadjuvant therapy
Surgical flaps
Survival
Abstract in English
A retrospective study with 119 patients diagnosed with invasive ductal adenocarcinoma of the breast treated with neoadjuvant chemotherapy (FEC), mastectomy and adjuvant therapy. Eight-five patients chose immediate breast reconstruction (IBR) with transverse rectus abdominis myocutaneous flap and, 34 did not do it. The mean follow-up was 52.7 months. Length of stay, adjuvant therapy interrelation, local recurrence, disease-free survival and overall survival were evaluated. It was concluded that despite a longer stay, IBR did not interfere with any of the other factors analyzed and may be indicated for patients with advanced breast disease
 
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Publishing Date
2006-09-13
 
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