Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
CABRERA NOGUEIRA, Gilberto; SANCHEZ PORTELA, Carlos and SOSA HERNANDEZ, Roberto. Breast cancer: conservative surgery versus radical mastectomy. Rev Ciencias Médicas [online]. 2005, vol.9, n.1, pp. 11-12. ISSN 1561-3194.
Aimed at assessing breast cancer behaviour according to operative procedures a retrospective and comparative study was conducted taking as universe 530 female patients suffering from breast cancer (I and II stages of the disease) at Abel Santamaría University Hospital during the period of January 1st, 1998 and December 31, 2003 using different operative procedures, 345 (65.09 %) with conservative operative procedure and 185 (34.90 %) with radical mastectomy (Patey total wide mastectomy and simple mastectomy). Behaviour of local relapses was significant (p < 0.005) in favour of conservative operation 9.59 % and 18.37 % of radical operative procedures; a similar behaviour was present with distant metastases 8.11 % in those treated conservatively and 20.0 % in radical treatments. Global survival in 5 years favoured those patients who underwent conservative operation (90.47 %) in relation to those with radical mastectomy (73.64 %) p < 0.005.
Keywords : BREAST NEOPLASMA; surgery; treatment; MASTECTOMY RADICAL; NEOPLASM METASTASIS.