Introduction: Subcutaneous mastectomy involves removal of the tumor and the entire
mammary gland with preservation of the skin. Indications for operation are: multicentric, large
tumors over 3 cm or local recurrences after breast conserving surgery. According to better
esthetic and psychological effects number of subcutaneous mastectomies is progressively
increasing. The Aim: Analysis of the incidence of local recurrence and patient survival after
primary subcutaneous mastectomy and immediate breast reconstruction. Materials and
Methods: This study included 102 patients who underwent subcutaneous mastectomies at
the Center for Breast in the period since 2000. until 2010. Statistical analysis was performed
with the software package SPSS version 14. Descriptive statistical indicators were used and
survival analyses were performed using the Kaplan-Meier's method. The significance level was
set at 0.05. Results: Local recurrence was diagnosed in 4 patients. Average survival was
38.09 months and median survival was 48 months. Overall survival with a 10-year follow-up
provided by Kaplan-Meier's method was 71%. Conclusion: Subcutaneous mastectomy and
breast reconstruction is safe procedure with survival and local recurrence not significantly
different compared to other breast cancer surgery. The occurrence of local recurrence was
more common in patients with larger tumors (T stage), while axillary lymph nodes and
postoperative radiotherapy does not influence the occurrence of local recurrence.
Ključne reči :
Tematska oblast:
Medecinske i zdravstvene nauke
Datum:
23.10.2012.
Br. otvaranja:
471
5. naučno-stručni skup Studenti u susret nauci sa međunarodnim učešćem - STES
