The meaning of local recurrence in conservative treatment of breast cancer
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Clinical and Biomedical Research |
Texto Completo: | https://seer.ufrgs.br/index.php/hcpa/article/view/125890 |
Resumo: | Conservative surgery associated with radiotherapy has shown overall survival rates similar to those of radical mastectomy, despite a great deal of variation in the rate of local recurrence according to different surgical approach. The free margins and absence of radiotherapy have a significant impact on local recurrence. In this review, factors associated with positive or negative outcomes are reviewed , as well diagnosis and treatment difficulties. At the moment, the best predictive factor for outcome of local recurrence is disease extension at initial diagnosis and treatment. Despite the fact that local recurrence after mastectomy is associated with systemic disease, patients with recurrence after BCT seem to have a more positive prognosis. |
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Clinical and Biomedical Research |
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The meaning of local recurrence in conservative treatment of breast cancerSignificado da recidiva local no tratamento conservador do câncer de mamaCâncer de mamarecidiva localmastectomiacirurgia conservadorafatores prognósticosBreast cancerlocal recurrencemastectomyconservative surgeryprognostic factorsConservative surgery associated with radiotherapy has shown overall survival rates similar to those of radical mastectomy, despite a great deal of variation in the rate of local recurrence according to different surgical approach. The free margins and absence of radiotherapy have a significant impact on local recurrence. In this review, factors associated with positive or negative outcomes are reviewed , as well diagnosis and treatment difficulties. At the moment, the best predictive factor for outcome of local recurrence is disease extension at initial diagnosis and treatment. Despite the fact that local recurrence after mastectomy is associated with systemic disease, patients with recurrence after BCT seem to have a more positive prognosis.A cirurgia conservadora associada à radioterapia tem demonstrado sobrevida semelhante à cirurgia radical, porém com grande variação nas taxas de recidiva local, conforme o tipo de cirurgia: a redução das margens cirúrgicas e a ausência de radioterapia apresentaram influência significativa na taxa de recidiva local. Nesta revisão, são estudados os fatores relacionados – de forma positiva ou negativa – na ocorrência da recidiva local, bem como as formas de diagnóstico, tratamento e seu significado em termos de prognóstico. Atualmente, o melhor fator preditivo do desfecho da paciente que apresenta recidiva local é a extensão da doença no momento do tratamento primário; e embora a recidiva local após a mastectomia seja habitualmente um prenúncio de doença sistêmica, a paciente com recorrência após TC aparentemente tem um melhor prognóstico.HCPA/FAMED/UFRGS2022-07-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Article"A Convite dos Editoresapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/125890Clinical & Biomedical Research; Vol. 21 No. 2 (2001): Revista HCPAClinical and Biomedical Research; v. 21 n. 2 (2001): Revista HCPA2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/hcpa/article/view/125890/85523http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess V. Biazús, JorgeH. Menke, Carlos A. Cavalheiro, José L. Xavier, Nilton Cericatto, Rodrigo C. Bittelbrun, Ana G. Rabin, Eliane 2022-07-18T19:41:11Zoai:seer.ufrgs.br:article/125890Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2022-07-18T19:41:11Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.none.fl_str_mv |
The meaning of local recurrence in conservative treatment of breast cancer Significado da recidiva local no tratamento conservador do câncer de mama |
title |
The meaning of local recurrence in conservative treatment of breast cancer |
spellingShingle |
The meaning of local recurrence in conservative treatment of breast cancer V. Biazús, Jorge Câncer de mama recidiva local mastectomia cirurgia conservadora fatores prognósticos Breast cancer local recurrence mastectomy conservative surgery prognostic factors |
title_short |
The meaning of local recurrence in conservative treatment of breast cancer |
title_full |
The meaning of local recurrence in conservative treatment of breast cancer |
title_fullStr |
The meaning of local recurrence in conservative treatment of breast cancer |
title_full_unstemmed |
The meaning of local recurrence in conservative treatment of breast cancer |
title_sort |
The meaning of local recurrence in conservative treatment of breast cancer |
author |
V. Biazús, Jorge |
author_facet |
V. Biazús, Jorge H. Menke, Carlos A. Cavalheiro, José L. Xavier, Nilton Cericatto, Rodrigo C. Bittelbrun, Ana G. Rabin, Eliane |
author_role |
author |
author2 |
H. Menke, Carlos A. Cavalheiro, José L. Xavier, Nilton Cericatto, Rodrigo C. Bittelbrun, Ana G. Rabin, Eliane |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
V. Biazús, Jorge H. Menke, Carlos A. Cavalheiro, José L. Xavier, Nilton Cericatto, Rodrigo C. Bittelbrun, Ana G. Rabin, Eliane |
dc.subject.por.fl_str_mv |
Câncer de mama recidiva local mastectomia cirurgia conservadora fatores prognósticos Breast cancer local recurrence mastectomy conservative surgery prognostic factors |
topic |
Câncer de mama recidiva local mastectomia cirurgia conservadora fatores prognósticos Breast cancer local recurrence mastectomy conservative surgery prognostic factors |
description |
Conservative surgery associated with radiotherapy has shown overall survival rates similar to those of radical mastectomy, despite a great deal of variation in the rate of local recurrence according to different surgical approach. The free margins and absence of radiotherapy have a significant impact on local recurrence. In this review, factors associated with positive or negative outcomes are reviewed , as well diagnosis and treatment difficulties. At the moment, the best predictive factor for outcome of local recurrence is disease extension at initial diagnosis and treatment. Despite the fact that local recurrence after mastectomy is associated with systemic disease, patients with recurrence after BCT seem to have a more positive prognosis. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article" A Convite dos Editores |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/125890 |
url |
https://seer.ufrgs.br/index.php/hcpa/article/view/125890 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/125890/85523 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
dc.source.none.fl_str_mv |
Clinical & Biomedical Research; Vol. 21 No. 2 (2001): Revista HCPA Clinical and Biomedical Research; v. 21 n. 2 (2001): Revista HCPA 2357-9730 reponame:Clinical and Biomedical Research instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Clinical and Biomedical Research |
collection |
Clinical and Biomedical Research |
repository.name.fl_str_mv |
Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
||cbr@hcpa.edu.br |
_version_ |
1799767057447780352 |