Ampliação sistemática das margens cirúrgicas na cirurgia oncoplástica da mama
Palavras-chave:
Neoplasia da mama, margens de excisão, mamoplastiaResumo
Introdução: A cirurgia conservadora da mama tem se modificado consideravelmente nas últimas décadas. O remodelamento mamário pós-cirurgia conservadora apresenta-se como uma forma de abordagem cirúrgica com bons resultados oncológicos e cosméticos. A margem cirúrgica das cirurgias oncológicas da mama tem se mostrado um fator limitante, pois um percentual considerável das pacientes é submetido a novos procedimentos, aumentando os custos e a morbidade. Objetivo: Descrever a experiência da instituição de ampliação sistemática das margens cirúrgicas na cirurgia conservadora de mama e os benefícios dessa técnica. Métodos: Estudo retrospectivo, que avaliou informações contidas em prontuário de pacientes do Instituto de Mama de Campinas, entre os anos de 2009 e 2015. A ampliação sistemática das margens consiste na retirada de tecido em torno do tumor, com espessura de 1 cm e dimensões de 2 cm nos demais eixos. São avaliadas margens medial, lateral, cranial, inferior, profunda e superficial. Resultados: Em um total de 94 casos com realização de ampliação sistemática das margens cirúrgicas, foram evitadas 18 (20%) reoperações. Apenas duas pacientes necessitaram de nova cirurgia. Conclusão: Trata-se de um procedimento simples e reprodutível, que não prejudica o resultado estético final, e que visa oferecer margens cirúrgicas livres de doença, evitando a reoperação e o atraso do tratamento adjuvante.
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Copyright (c) 2017 Danilo Manente, Douglas de Miranda Pires, Carolina Nazareth Valadares, Raffaela Levy de Andrade, Ana Carolina Guglielmelli Mendonça
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
