MEME KORUYUCU CERRAHİ SONRASI LOKAL NÜKS

Year 2016, Volume: 49 Issue: 1, 46 - 54, 01.03.2016

G Selçuk Özbalcı Aysu B. Özbalcı Salih Tuncal

Abstract

Meme koruyucu cerrahi MKC , tümörle birlikte çevresinden bir miktar sağlam meme dokusunun çıkartılması ve koltuk altı lenf bezlerinin diseksiyonu işlemlerini içerir. Kalan meme dokusuna radyoterapi RT verilmesi de bu tedavinin bir parçası olarak uygulanmalıdır. MKC erken evre meme kanserinin tedavisinde sıklıkla tercih edilen bir seçenektir. MKC ile memenin tümüyle alınması arasında hastanın yaşam süresi bakımından hiçbir fark yoktur. MKC’nin mastektomiye M olan üstünlüğü, memenin büyük bir bölümünün korunmasını sağladığı için elde edilen daha iyi kozmetik ve psikolojik sonuçtur. Dezavantajı ise geriye kalan meme dokusunda tümörün tekrar etme riskinin biraz daha yüksek olmasıdır. Nüks gelişimine etki eden; tümöre, hastaya ve tedaviye bağlı çeşitli faktörler vardır. Bu derlemede MKC sonrası lokal nüks gelişimine etki eden risk faktörleri, MKC sonrası takip ve nükse yönelik tedavi seçenekleri gözden geçirildi

Keywords

Meme kanseri, lokal nüks, meme koruyucu cerrahi

LOCAL RECURRENCE AFTER BREAST CONSERVATIVE SURGERY

Abstract

Breast conservative surgery BCS is defined as the excision of tumor with surrounding healthy breast tissue and dissection of axillary lymph nodes. Radiotherapy RT to the remaining breast tissue must be given as a part of the treatment protocol. BCS is a commonly used treatment in the early stages of breast cancer. There is no significant difference between the survival rates of patients who had mastectomy M and BCS. The advantage of BCS over M is better cosmetic and psychological results. The main disadvantage of BCS is higher risk of recurrence in the remaining breast tissue. There are various factors which contribute to local recurrence related to the tumor, patient and treatment. In this review, risk factors that contribute to local recurrence, follow up after BCS and treatment options for recurrence were analyzed

Keywords

Breast cancer, local recurrence, breast conservative surgery

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