Local and Distant Recurrences - A Comparative Study on Conservative and Radical Surgery for Breast Cancer

  1. Home
  2. Articles

Local and Distant Recurrences - A Comparative Study on Conservative and Radical Surgery for Breast Cancer

M. Ursaru, I. Jari, D. Negru, V. Scripcariu
Original article, no. 1, 2015
The treatment of breast cancer has evolved over the past 40years. Followed by radiotherapy, conservative surgical proceduresare options increasingly more preferred by surgeons andpatients. This paper aims to highlight comparative aspects oflocal and distant recurrence in patients who had radical or conservativesurgery for breast cancer. We performed a retrospectivestudy between January, 2005 - July 2013, that included 477breast cancer patients from the Regional Institute of OncologyIasi, who were evaluated by imaging in the Radiology Clinic,Hospital "St. Spiridon", Iasi. We included in the study patientsin curable stages 0, I and II; 248 (52 %) patients had radicalsurgery and 229 (48 %) patients had conservative surgery. Weused the ultrasound scan, mammography, CT and MRI, thatallowed diagnosis, pretherapeutic staging and diagnosing of theloco-regional and distant recurrences. Local and distantrecurrences were higher in patients with conservative surgery(86 recurrences), than in patients who had radical surgery (55recurrences). Local recurrences are more common in youngerindividuals and in patients treated with conservative surgeryand radiotherapy, than in patients with radical mastectomy.The most common metastases are located in the bone, liverand lung.