Evaluación de resultados del empleo de remodelación mamaria post cirugía conservadora por neoplasia de mama en el ION - SOLCA Guayaquil
Fecha
2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Objetivos:Evaluar la efectividad de la Remodelación mamaria en pacientes con cáncer de mama sometidas a Cirugía Conservadora, las diversas técnicas utilizadas y la presencia de cambios emocionales a nivel personal, familiar y de pareja.
Métodos: Estudio retrospectivo en el Instituto Oncológico Nacional SOLCA “Dr. Juan Tanca Marengo” en Guayaquil-Ecuador, entre Enero del 2006 y Diciembre del 2009.
Resultados: Un total de 1083 casos de cáncer de mama fueron sometidos a tratamiento quirúrgico, con un 47.9% (n=519) sometidas a Cirugías Conservadoras y solo el 19% (n=98) Remodelación Mamaria Post-Cirugía Conservadora. Las pacientes fueron predominantemente mayores de 50 años con 41% (n=40) y en estadío IIB con 61% (n=60). Los procedimientos más usados en orden de frecuencia fueron Remodelación mamaria con 51% (n=50), Reconstrucción parcial con colgajos con 26% (n=25) y Reducción mamaria con 23% (n=23). En relación a la efectividad del tratamiento, los resultados fueron completos en 82% (n=80) y adecuados en 16% (n=16) de los casos. Finalmente, de acuerdo a las pacientes del estudio, existió una mejoría de la vida familiar en un 98% (n=96), vida sexual en un 98% (n=96), autoestima en el 98% (n=96), y nivel socio laboral en el 92% (n=90)
Conclusiones:El porcentaje del total de cirugías correspondientes a Remodelación Mamaria Post-Cirugía Conservadora es reducido, a pesar de que en la mayoría de los casos un resultado completo y adecuado fue obtenido, y una mejoría de la vida familiar, vida sexual, autoestima y nivel socio laboral fue percibida por las pacientes
Objectives: To assess the effectiveness of the breast remodeling surgery in breast cancer patients undergoing breast conserving surgery, the various techniques used and the presence of emotional, personal, familiar and couple changes. Methods: Retrospective study at the National Cancer Institute SOLCA "Dr. Juan Tanca Marengo "in Guayaquil-Ecuador, between January 2006 and December 2009. Results: A total of 1083 cases of breast cancer underwent surgical treatment, with 47.9% (n=519) undergoing conserving surgery and only 19% (n=98) breast remodeling after breast conserving surgery. Patients were predominantly older than 50 years with 41% (n=40) and stage IIB with 61% (n=60). The procedures used in order of frequency were Breast remodeling surgery with 51% (n=50), Partial flap reconstruction with 26% (n=25) and Breast reduction 23% (n=23). In relation to the effectiveness of the treatment, the results were complete in 82% (n=80) and appropriate 16% (n=16) of cases. Finally, according to the patients, there was an improvement in familiar aspects in 98% (n=96), sexual life in 98% (n=96), self-esteem in 98% (n=96), and laboralin 92% (n=90) Conclusions: The percentage of total surgeries for Breast remodeling after breast conserving surgery is reduced, although in most cases a full and proper result was obtained, and an improvement in family life, sex life, self-esteem and laboral was perceived by the patients
Objectives: To assess the effectiveness of the breast remodeling surgery in breast cancer patients undergoing breast conserving surgery, the various techniques used and the presence of emotional, personal, familiar and couple changes. Methods: Retrospective study at the National Cancer Institute SOLCA "Dr. Juan Tanca Marengo "in Guayaquil-Ecuador, between January 2006 and December 2009. Results: A total of 1083 cases of breast cancer underwent surgical treatment, with 47.9% (n=519) undergoing conserving surgery and only 19% (n=98) breast remodeling after breast conserving surgery. Patients were predominantly older than 50 years with 41% (n=40) and stage IIB with 61% (n=60). The procedures used in order of frequency were Breast remodeling surgery with 51% (n=50), Partial flap reconstruction with 26% (n=25) and Breast reduction 23% (n=23). In relation to the effectiveness of the treatment, the results were complete in 82% (n=80) and appropriate 16% (n=16) of cases. Finally, according to the patients, there was an improvement in familiar aspects in 98% (n=96), sexual life in 98% (n=96), self-esteem in 98% (n=96), and laboralin 92% (n=90) Conclusions: The percentage of total surgeries for Breast remodeling after breast conserving surgery is reduced, although in most cases a full and proper result was obtained, and an improvement in family life, sex life, self-esteem and laboral was perceived by the patients
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Neoplasias de la mama, Matectomía, Reconstrucción de la mama, Estudios retrospectivos, Hospital SOLCA de Guayaquil, Cantón Guayaquil, Ecuador