Aspectos clínicos, anatomopatológicos, recidiva local e sobrevida de pacientes com carcinoma de mama tratadas pela cirurgia conservadora
Clinical aspects, histologic findings, local recurrence and survival rates in patients with breast cancer treated with breast conservation surgery
Palavras-chave:
Neoplasias mamárias, Tratamento, Cirurgia conservadora da mama, Recidiva local de neoplasia, SobrevivênciaResumo
Objetivos: Avaliar a idade, o diâmetro do tumor primário, o estadiamento clínico, o tipo histológico, as porcentagens de recidiva local e a sobrevida de pacientes submetidas a tratamento conservador do carcinoma invasivo inicial de mama na Universidade Federal de São Paulo (Unifesp).
Métodos: Estudou-se, retrospectivamente, o prontuário de pacientes com câncer de mama submetidas a tratamento conservador, isto é, quadrantectomia com dissecção axilar e radioterapia, no
período de 1990 a 2002 na disciplina de Mastologia do Departamento de Ginecologia da Unifesp.
Avaliou-se a idade, o diâmetro tumoral, o estadiamento clínico e as taxas de sobrevida e recidiva
local. Resultados: A idade variou de 23 a 88 anos, sendo a média de 53,7 anos. O diâmetro do
tumor primário variou de 0,5 a 4 cm, sendo a média de 1,9 cm; 60,1% das pacientes estavam
no estádio clínico I; 34,4% no estádio IIA; 4,9% no IIB e 0,6% no III. O tipo histológico mais
freqüente foi o ductal infiltrativo (83,1%), seguido do lobular (7,1%). A recidiva local foi diagnosticada em 3,9% das pacientes e a sobrevida global no período médio de 44,5 meses foi de 97,3%.
Conclusões: A cirurgia conservadora no câncer de mama inicial apresenta resultados semelhantes
aos da cirurgia radical e os resultados do presente estudo foram comparáveis aos da literatura.
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