Advanced Search

Home > Journals > Minerva Chirurgica > Past Issues > Minerva Chirurgica 2001 February;56(1) > Minerva Chirurgica 2001 February;56(1):55-60

ISSUES AND ARTICLES   MOST READ   eTOC

CURRENT ISSUEMINERVA CHIRURGICA

A Journal on Surgery

Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877

Frequency: Bi-Monthly

ISSN 0026-4733

Online ISSN 1827-1626

 

Minerva Chirurgica 2001 February;56(1):55-60

    ORIGINAL ARTICLES

Ambulatory surgical treatment for breast carcinoma

Barillari P., Leuzzi R., Bassiri-Gharb A., D'Angelo F., Aurello P., Naticchioni E.

Background. The aim of the study is to demonstrate the feasibility and the oncologic effectiveness of quadrantectomy plus sentinel node biopsy performed under local anesthesia, and to demonstrate the economic and psychologic advantages.
Methods. From October 1996 to March 2000, 71 patients affected with clinical T1 N0 breast cancer, underwent quadrantectomy or tumor resection plus sentinel node biopsy and clinically suspicion axillary nodes biopsy, under local anesthesia at the Casa di Cura ''Villa Mafalda'' in Rome.
Results. Twenty tumors were T1a, 26 T1b e 25 T1c. A mean of 2 sentinel nodes (range 1-4) and a mean of 8 axillary nodes were removed during the procedure. In 2 cases sentinel nodes were not identified. Intraoperative histologic examination showed metastatic sentinel nodes in 11 cases. An axillary node dissection was performed in all cases (>12 nodes) and no other metastatic nodes were found. In all patients clinically suspected nodes were removed. In two cases no evidence of metastasis was found in sentinel nodes, while histologic examination revealed in a patient micrometastasis in one node, and in another patient two metastatic nodes.
Conclusions. Fifty-three patients rated the overall surgical, anesthetic and recovery experience as ''very satisfactory'', 13 ''satisfactory'' and 5 ''unsatisfactory''. Patients typically expressed their pleasure at the possibility to return home and stressed the ease of recovery.

language: Italian


FULL TEXT  REPRINTS

top of page