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Immediate reconstruction with autologous fat grafting: influence in breast cancerregional recurrence / Reconstrução imediata com enxerto autólogo de gordura: influência na recorrência local de câncer de mama
STUMPF, CAMILE CESA; BIAZUS, JORGE VILLANOVA; ZUCATTO, FERNANDO SCHUH ÂNGELA ERGUY; CERICATTO, RODRIGO; CAVALHEIRO, JOSÉ ANTÔNIO CRESPO; DAMIN, ANDREA PIRES SOUTO; MELO, MÁRCIA PORTELA.
  • STUMPF, CAMILE CESA; Clinics Hospital of Porto Alegre. Breast Unit. Porto Alegre. BR
  • BIAZUS, JORGE VILLANOVA; Clinics Hospital of Porto Alegre. Breast Unit. Porto Alegre. BR
  • ZUCATTO, FERNANDO SCHUH ÂNGELA ERGUY; Clinics Hospital of Porto Alegre. Breast Unit. Porto Alegre. BR
  • CERICATTO, RODRIGO; Clinics Hospital of Porto Alegre. Breast Unit. Porto Alegre. BR
  • CAVALHEIRO, JOSÉ ANTÔNIO CRESPO; Clinics Hospital of Porto Alegre. Breast Unit. Porto Alegre. BR
  • DAMIN, ANDREA PIRES SOUTO; Clinics Hospital of Porto Alegre. Breast Unit. Porto Alegre. BR
  • MELO, MÁRCIA PORTELA; Clinics Hospital of Porto Alegre. Breast Unit. Porto Alegre. BR
Rev. Col. Bras. Cir ; 44(2): 179-186, Mar.-Apr. 2017. tab, graf
Article in English | LILACS | ID: biblio-842656
ABSTRACT
ABSTRACT

Objective:

to evaluate local and systemic recurrence of breast cancer in patients submitted to autologous fat grafting in the immediate reconstruction after conservative surgery for breast cancer.

Methods:

this is a historical cohort study comparing 167 patients submitted to conservative surgery without reconstruction (conservative surgery group) with 27 patients submitted to conservative treatment with immediate graft reconstruction, following the Coleman's technique (lipofilling group). All patients had invasive carcinoma and were operated by a single surgeon from 2004 to 2011. The postoperative follow-up time was 36 months.

Results:

the overall incidence of local recurrence was 2.4%. No patient in the lipofilling group had local recurrence during the study period. For systemic recurrence, the rates obtained were 3.7% (one patient) for the fat grafting group and 1.8% (three patients) for the conservative surgery group without reconstruction.

Conclusion:

there was no significant difference for local or systemic recurrence in the groups studied. Immediate autologous fat grafting appears to be a safe procedure.
RESUMO
RESUMO

Objetivo:

avaliar recorrência local e sistêmica do câncer de mama em pacientes submetidas ao enxerto autólogo de gordura na reconstrução imediata após cirurgia conservadora para o câncer de mama.

Métodos:

estudo de coorte histórica em que foram comparadas 167 pacientes submetidas à cirurgia conservadora sem reconstrução com 27 pacientes submetidas ao tratamento conservador com reconstrução imediata do enxerto, seguindo técnica de Coleman. Todas as pacientes eram portadoras de carcinoma invasor e foram operadas por um único cirurgião, no período de 2004 a 2011. O tempo de acompanhamento pós-operatório foi 36 meses.

Resultados:

a incidência global de recidiva local foi 2,4%. Nenhuma paciente do grupo de lipoenxertia apresentou recorrência local durante o período do estudo. Para recorrência sistêmica, as taxas obtidas foram de 3,7% (uma paciente) para o grupo lipoenxertia e 1,8% (três pacientes) para grupo da cirurgia conservadora sem reconstrução.

Conclusão:

não houve diferença significativa para recorrência local ou sistêmica nos grupos estudados. O enxerto autólogo imediato de gordura parece ser um procedimento seguro.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Breast Neoplasms / Adipose Tissue / Neoplasms, Second Primary / Mammaplasty / Neoplasm Recurrence, Local Type of study: Etiology study / Incidence study / Observational study / Risk factors Limits: Female / Humans Language: English Journal: Rev. Col. Bras. Cir Journal subject: General Surgery Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Clinics Hospital of Porto Alegre/BR

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Full text: Available Index: LILACS (Americas) Main subject: Breast Neoplasms / Adipose Tissue / Neoplasms, Second Primary / Mammaplasty / Neoplasm Recurrence, Local Type of study: Etiology study / Incidence study / Observational study / Risk factors Limits: Female / Humans Language: English Journal: Rev. Col. Bras. Cir Journal subject: General Surgery Year: 2017 Type: Article Affiliation country: Brazil Institution/Affiliation country: Clinics Hospital of Porto Alegre/BR