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Revista Cubana de Cirugía

versión impresa ISSN 0034-7493versión On-line ISSN 1561-2945

Resumen

CANTERO RONQUILLO, Alexis et al. Bilateral breast cancer at “Comandante Manuel Fajardo” Teaching Hospital (1982-2003). Rev Cubana Cir [online]. 2004, vol.43, n.3-4. ISSN 0034-7493.

In 1945, Foote and Stewart said: “the most frequent antecedent of cancer in a breast is having had a neoplasia in the other breast” A study of the cases of bilateral breast cancer seen in our service between 1982 and 2003 was conducted. Methods: The universe of our work was composed of 25 patients attended in the last 20 years due to bilateral breast cancer. Most of them were metachronic (21 cases). Age, clinical stages at the time of diagnosis, treatment used, histological type and evolution, among other variables, were analyzed. Results: the highest incidence of this disease was observed in the 5th and 6th decades of life, with predominance of stage II tumors. Patev's modified radical mastectomy was the most common operation. The most conservative techniques prevailed in the second operation. Seven of the patients died as a result of the disease. Conclusions: the prognosis of women with bilateral breast cancer is usually favorable and it depends on its development stage at the time of the diagnosis. The treatment of the second was more conservative than the first one. The strict follow-up and the use of genetic engineering are fundamental elements for the early diagnosis

Palabras clave : Bilateral breast cancer; early diagnosis.

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