Local recurrences of breast cancer after organ-sparing treatment: the site of oncoplastic resections and risk factors
DOI: https://doi.org/10.29296/25877305-2021-08-01
Issue:
8
Year:
2021
Breast cancer (BC) holds the lead in the structure of cancer incidence in women. A comprehensive
approach to treating BC patients, which includes highly effective drug treatment options and postoperative
radiation therapy, allows surgeons to perform operations of various volumes: from tumorectomies to radical
mastectomies with breast reconstruction. Organ-sparing operations (OSO) in the combined/combination
treatment of BC lead to equal relapse-free and overall survival rates compared to mastectomies, despite the
higher frequency of local relapses. The widespread use of oncoplastic resections over the past decades,
which combine the principles of oncological safety and aesthetic surgery, has made it possible to expand
indications for organ-sparing treatment in BC. Today, the issues of oncological safety of OSO involving both
conventional (tumorectomy, lumpectomy, quadranectomy) and oncoplastic resections do not lose their
relevance. In addition, owing to a personalized approach to treating BC, the question of determining the
predictors of local relapse after OSO remains interesting. This paper provides a literature review
reflecting the oncological results of OSO in BC patients, as well as the factors influencing the frequency
of local recurrences.
Keywords:
oncology
breast cancer
organ-sparing treatment
oncoplastic resections
local recurrences
hormone therapy
breast resection
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