scholarly journals Paravertebral block in regional anesthesia with propofol sedation reduces locoregional recurrence in patients with breast cancer receiving breast conservative surgery compared with volatile inhalational without propofol in general anesthesia

2021 ◽  
Vol 142 ◽  
pp. 111991
Author(s):  
Jiaqiang Zhang ◽  
Chia-Lun Chang ◽  
Chang-Yun Lu ◽  
Ho-Min Chen ◽  
Szu-Yuan Wu
Keyword(s):  
Breast Cancer ◽  
General Anesthesia ◽  
Regional Anesthesia ◽  
Locoregional Recurrence ◽  
Conservative Surgery ◽  
Paravertebral Block ◽  
Propofol Sedation ◽  
Breast Conservative Surgery

Ultrasound-Guided Breast-Conservative Surgery Decreases the Rate of Reoperations for Palpable Breast Cancer

2018 ◽  
Vol 84 (6) ◽  
pp. 1043-1048
Author(s):  
Salvatore Vieni ◽  
Giuseppa Graceffa ◽  
Roberta Priola ◽  
Martina Fricano ◽  
Stefania Latteri ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Histological Examination ◽  
Standard Technique ◽  
Positive Margin ◽  
Conservative Surgery ◽  
Ultrasound Guided ◽  
Surgical Specimen ◽  
Positive Margins ◽  
Breast Conservative Surgery ◽  
Palpable Breast

The purpose of this study is to verify whether the performance of ultrasound-guided quadrantectomy (USGQ) versus palpation-guided quadrantectomy (PGQ) can reduce the incidence of positive margins and if it can change the attitude of the surgeon. A retrospective study was conducted on 842 patients underwent quadrantectomy for breast cancer, 332 of them underwent USGQ, whereas 550 underwent PGQ. The histological type of the tumors and the margin status obtained with the histological examination were compared. The histological examination of the surgical specimen showed involvement of the margins in 24/842 patients (2.85%), 22 (2.61%) of them belonged to the PGQ group, and two to the USGQ group (P = 0.0011). The highest rate of microscopically positive margins was, statistically significant, for carcinoma in situ, when compared with patients with invasive carcinoma (0.0001). USGQ technique showed several advantages compared with PGQ. In fact, the former notes a lower positive margin rate and, consequently, a lower rate of reintervention. In addition, it may change the surgeon's attitude by causing him to remove another slice of margin to ensure more histological negativity. It should be the gold standard technique for breast-conservative surgery of palpable tumors.

scholarly journals Breast Conservative Therapy

JMS SKIMS ◽  
2012 ◽  
Vol 15 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Ajaz A Mailk ◽  
Khursheed Alam Wani ◽  
Sheikh Riyaz Ahmad
Keyword(s):  
Breast Cancer ◽  
Conservative Therapy ◽  
Early Stage ◽  
Indian Subcontinent ◽  
Conservative Surgery ◽  
Primary Treatment ◽  
The West ◽  
Breast Conservative Surgery ◽  
Life Threatening ◽  
Surgical Aspects

Breast cancer is the most frequently diagnosed life-threatening cancer in women worldwide. It is the leading cause of cancer-related death among women. In the West, it is often first detected as an abnormality on a mammogram, before it is felt by the patient or the healthcare provider. However, in the Indian subcontinent, presentation is often late. Surgery is considered primary treatment for breast cancer. Many patients with early-stage breast cancer are cured with surgery alone. In this review, various surgical aspects of breast-cancer are discussed with focus on breast conservative surgery. JMS 2012;15(1):7-14.

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