Major Ambulatory Surgery for the Treatment of Breast Cancer: Factors Conditioning Conversion to Conventional Hospitalization

ConclusionsAmbulatory surgery for the surgical treatment of breast cancer should be standard care. Optimized results require adequate patient selection and the performance of surgical technique that needs to be as careful and as conservative as possible.ResumenIntroducciónLa realización de cirugía oncológica mamaria en régimen ambulatorio se está convirtiendo en una práctica estándar entre los centros públicos por los distintos beneficios que aporta. En este estudio se analizan los resultados obtenidos con esta modalidad asistencial y se identifican los factores relacionados con su fracaso.MétodosSe analizaron retrospectivamente los datos de las 206 pacientes intervenidas por cáncer de mama en el año 2016 bajo 3 tipos de régimen: ambulatorio puro, ambulatorio-23 h y hospitalario convencional. Se describen los índices de ambulatorización, éxito y conversión, tanto de forma global como distinguiendo entre cirugía conservadora, mastectomía ± reconstrucción inmediata y cirugía axilar. Se realiza un análisis univariante para hallar aquellos factores relacionados con la conversión a régimen hospitalario.ResultadosPara la muestra global se obtuvo un índice de ambulatorización del 61,2%, con un 16,5% de conversiones y un éxito del 83,4%. Para cirugía conservadora, ambul...
Source: Cirugia Espanola - Category: Surgery Source Type: research

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Source: Ethnicity and Health - Category: International Medicine & Public Health Authors: Source Type: research
Mastectomy rates continue to increase in women diagnosed with breast cancer (BC). There are limited data regarding reconstruction rates at academic centers (AC) versus community hospitals (CH). We aim to determine the effect of facility type on reconstruction rates.
Source: Journal of Surgical Research - Category: Surgery Authors: Source Type: research
Breast cancer patients can now undergo a mastectomy and nipple-preserving breast reconstruction in one procedure. Sophie Williams, 42, (pictured) had it done.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
Conditions:   Breast Cancer;   Breast Cancer Lymphedema;   Pain;   Pain, Postoperative;   Pain, Chronic;   Mastectomy; Lymphedema;   Breast Surgery Interventions:   Other: Single rehabilitative treatment;   Other: Group rehabilitative treatment Sponsor:   University of Roma La Sapienza Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
A 70-year-old female patient with a history of locally advanced breast cancer presented with a 2-month duration of persistent gait imbalance. Ten years earlier, she initially received a diagnosis of an invasive ductal carcinoma of the right breast, triple negative, treated with mastectomy and axillary lymph node dissection, followed by adjuvant chemotherapy and postmastectomy radiation therapy. She had been followed up without evidence of disease until the present time. Magnetic resonance imaging of the brain demonstrated a lobulated enhancing mass measuring 3.6  × 2.4 × 3.6 cm involvin...
Source: International Journal of Radiation Oncology * Biology * Physics - Category: Radiology Authors: Tags: Gray Zone Source Type: research
ConclusionsThe QAIs have significant value for the diagnosis and severity of lymphedema and may therefore potentially be used as an objective tool for the assessment of lymphedema.
Source: European Journal of Nuclear Medicine and Molecular Imaging - Category: Nuclear Medicine Source Type: research
AbstractBackgroundNeoadjuvant chemotherapy (NAC) for breast cancer increases breast-conserving surgery (BCS) rates, but many women opt for mastectomy with contralateral prophylactic mastectomy (CPM). Here we evaluate factors associated with CPM use in women undergoing mastectomy post-NAC.MethodsA retrospective institutional NAC database review identified women with clinical stage I-III, unilateral invasive breast cancer undergoing unilateral mastectomy (UM) or CPM mastectomy from 9/2013 to 12/2017. Clinical/pathologic characteristics, imaging, and presence of contraindications to BCS post-NAC were compared, with subset ana...
Source: Annals of Surgical Oncology - Category: Cancer & Oncology Source Type: research
AbstractPurpose of ReviewInflammatory breast cancer (IBC) is an aggressive type of breast cancer with poor prognosis. Treatment for non-metastatic disease is neoadjuvant chemotherapy followed by mastectomy and radiation. IBC diagnosis is primarily a clinical diagnosis, which can lead to misdiagnosis and delayed management. In addition, there are no molecular criteria for diagnosis or therapeutic regimens developed specifically for IBC. We aimed to discuss recent developments in IBC, including diagnosis, molecular mechanisms, and treatment.Recent FindingsRecently, the Union for International Cancer Control (UICC) and the Am...
Source: Current Breast Cancer Reports - Category: Cancer & Oncology Source Type: research
ConclusionsThere were no OS differences in patients undergoing MAST, XRT, or MXRT, suggesting breast conservation can be considered in patients with OBC.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
This study aims to determine if a disparity in BR utilization exists in women from Appalachia Kentucky. Methods A retrospective, population-based cohort study was conducted from January 1, 2006, to December 31, 2015. The Kentucky Cancer Registry was queried to identify population-level data for female patients diagnosed with breast cancer and treated with mastectomy. A multivariate logistic regression model controlling for patient, disease, and treatment characteristics was constructed to predict the likelihood of BR. Results Bivariate testing showed differences (P
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
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