Silvio Eduardo Bromberg1*, Patricia RA Figueiredo Moraes2, Paulo Gustavo Tenório do Amaral1 and Dafne Raca Bromberg3
1Oncology Center, Hospital Israelita Albert Einstein, Brazil
2Women's Health Reference Center, Hospital Perola Byington, Brazil
3Faculty of Medical Sciences of Santa Casa de São Paulo, Brazil
Background: The objective of this study is to describe the feasibility of a minimally invasive surgical approach to treat early breast cancer. Breast-conserving surgery has become the standard of care for early breast carcinoma. The majority of cases, the traditional approach to conservative surgery require two incisions (over the tumor and axillary). It leaves more scars and patients whose sexual organs have cosmetic defects have to cope with social impacts and experience a loss in quality of life. The minimally invasive surgical approach re-moves the breast tumor and sentinel lymph node biopsy through a single incision.
Methods: We retrospectively selected 94 patients with early breast cancer treated with breast conserving surgery through a single incision between January 2015 and December 2018. All patients approved of its use because they were cosmetically satisfied with their breasts, and preferred to have as little scarring as possible. The following data were collected: Number of dissected sentinel
lymph nodes, breast tissue volume removed, tumor location, incision site, time of surgery and histopathological reports.
Results: Among the analyzed cases, the median age of 55 years. The mean volume of the surgical specimen removed was 15.9 cm3. In average, 3.6 lymph nodes were resected and the mean time of surgery was 2 h and 40 min. The type of incision was statistically associated with tumor location (p<5%). There was no need to re operate anyone.
Conclusions: The single surgical incision technique is feasible and reinforces the oncoplastic concept in breast cancer treatment.
Breast cancer; Breast conserving surgery; Minimally invasive; Technique
Bromberg SE, Figueiredo Moraes PRA, Tenório do Amaral PG, Bromberg DR. Minimally Invasive Breast Surgery: A Single Incision Approach for Early Breast Cancer Treatment - A Descriptive Analysis of 94 Cases. Oncol Case Report J. 2020;3(2):1025..