SYSTEMATIC CAVITY SHAVING IN ONCOPLASTIC BREAST SURGERY
Keywords:
Breast neoplasm, margins of excision, mammoplastyAbstract
Introduction: Conservative breast surgery has changed considerably in recent decades. Breast remodeling after conservative surgery is a surgical approach that has good oncological and cosmetic results. The surgical margin of oncological breast surgery has been shown to be a limiting factor, because a considerable percentage of patients undergo additional procedures, which increases costs and morbidity. Objective: To describe the experience of the establishment of systematic cavity shaving in conservative breast surgery and the benefits of this technique. Methods: This is a retrospective study, which evaluated information contained in patient records at the Campinas Breast Institute between 2009 and 2015. Systematic cavity shaving consists of the removal of tissue around the tumor in a thickness of 1 cm, and 2 cm in the other axes. Medial, lateral, cranial, inferior, deep and superficial margins are evaluated. Results: In a total of 94 cases with systematic cavity shaving, 18 (20%) reoperations were avoided. Only two patients required further surgery. Conclusion: It is a simple and reproducible procedure, which does not affect the final aesthetic result, and aims to provide disease-free surgical margins, avoiding reoperation and delayed adjuvant treatment.
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Copyright (c) 2017 Danilo Manente, Douglas de Miranda Pires, Carolina Nazareth Valadares, Raffaela Levy de Andrade, Ana Carolina Guglielmelli Mendonça
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