Ductal carcinoma in situ and the extent of surgery
Authors:
J. Gatěk 1,4; V. Petrů 1; P. Kosáč 1; P. Vážan 2; M. Zábojníková 3; M. Ratajský 1; B. Dudešek 1; P. Holík 4; K. Lajmar 1; P. Jančík 1; J. Duben 1
Authors‘ workplace:
Chirurgické oddělení EUC Klinika Zlín
1; Cytologická laboratoř CGB Zlín
2; Onkologické oddělení KTNB Zlín
3; Univerzita Tomáše Bati ve Zlíně
4
Published in:
Rozhl. Chir., 2021, roč. 100, č. 4, s. 166-172.
Category:
Original articles
doi:
https://doi.org/10.33699/PIS.2021.100.4.
Overview
Introduction: Ductal carcinoma in situ (DCIS) is a very heterogenous disease. The incidence of DCIS has been increasing with the adoption of mammography screening. This opened new questions concerning surgical and adjuvant therapy.
Methods: We retrospectively observed the incidence of DCIS amongst the patients that underwent surgical resection in EUC clinic Zlín between 2017 and 2019. We also assessed the extent of breast surgery including interventions in axilla and the adjuvant therapy.
Results: There were 616 breast cancer patients, of whom 44 (7.1%) were diagnosed with DCIS. Breast-conserving surgery was performed in 35 (80%) patients. Lumpectomy alone was performed in 21 (47%) patients. Mastectomy was indicated primarily in 9 cases with additional two mastectomies performed to achieve clear margins. All sentinel nodes were negative.
Conclusion: Results confirmed, that the surgical therapy as well as radiotherapy and hormonal treatment are performed according to guidelines at our department. Proportion of sentinel node biopsy is remarkably higher, therefore an improvement in this area is our next goal.
Keywords:
DCIS – breast-conserving surgery − sentinel node − local recurrence
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2021 Issue 4
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