Tratamiento conservador del carcinoma ductal in situ de la mama

Background: Since the widespread use of mammography, the incidence of ductal carcinoma in situ of the breast has increased. Until few years ago the standard treatment was mastectomy, however from the analysis of conservative treatment trials for invasive carcinoma, it was evident that ductal carcino...

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Autores principales:	Hepp,Rodrigo, Baeza B,M Ramón
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 1999
Materias:	Breast neoplasms Mammography Mastectomy, segmental Radiotherapy, adjuvant
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100008
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spelling	oai:scielo:S0034-988719990011000082005-11-23Tratamiento conservador del carcinoma ductal in situ de la mamaHepp,RodrigoBaeza B,M Ramón Breast neoplasms Mammography Mastectomy, segmental Radiotherapy, adjuvant Background: Since the widespread use of mammography, the incidence of ductal carcinoma in situ of the breast has increased. Until few years ago the standard treatment was mastectomy, however from the analysis of conservative treatment trials for invasive carcinoma, it was evident that ductal carcinoma in situ could also be treated conservatively. This was confirmed later by randomized trials. Aim: to analyze the experience of our Institution with conservative treatment of ductal carcinoma in situ of the breast. Patients and methods: A search through the data base of our Institution found 69 patients treated with lumpectomy and radiotherapy between the years 1976 and 1997. Results: Twenty three of 69 patients (33%) were diagnosed because of a palpable mass. Eleven of twelve were diagnosed prior to 1990 and 12 of 57 after 1990. With a median follow-up of 48 months local control and overall survival is 97%. None of the patients underwent mastectomy. Conclusions: Conservative treatment of ductal carcinoma in situ of the breast is a reasonable alternative, mainly if we realize that with increasing frequency-the diagnosis is made through mammography and with non-palpable lesions. The results reported in this study are similar to those reported by other centers.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.127 n.11 19991999-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100008es10.4067/S0034-98871999001100008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Breast neoplasms Mammography Mastectomy, segmental Radiotherapy, adjuvant
spellingShingle	Breast neoplasms Mammography Mastectomy, segmental Radiotherapy, adjuvant Hepp,Rodrigo Baeza B,M Ramón Tratamiento conservador del carcinoma ductal in situ de la mama
description	Background: Since the widespread use of mammography, the incidence of ductal carcinoma in situ of the breast has increased. Until few years ago the standard treatment was mastectomy, however from the analysis of conservative treatment trials for invasive carcinoma, it was evident that ductal carcinoma in situ could also be treated conservatively. This was confirmed later by randomized trials. Aim: to analyze the experience of our Institution with conservative treatment of ductal carcinoma in situ of the breast. Patients and methods: A search through the data base of our Institution found 69 patients treated with lumpectomy and radiotherapy between the years 1976 and 1997. Results: Twenty three of 69 patients (33%) were diagnosed because of a palpable mass. Eleven of twelve were diagnosed prior to 1990 and 12 of 57 after 1990. With a median follow-up of 48 months local control and overall survival is 97%. None of the patients underwent mastectomy. Conclusions: Conservative treatment of ductal carcinoma in situ of the breast is a reasonable alternative, mainly if we realize that with increasing frequency-the diagnosis is made through mammography and with non-palpable lesions. The results reported in this study are similar to those reported by other centers.
author	Hepp,Rodrigo Baeza B,M Ramón
author_facet	Hepp,Rodrigo Baeza B,M Ramón
author_sort	Hepp,Rodrigo
title	Tratamiento conservador del carcinoma ductal in situ de la mama
title_short	Tratamiento conservador del carcinoma ductal in situ de la mama
title_full	Tratamiento conservador del carcinoma ductal in situ de la mama
title_fullStr	Tratamiento conservador del carcinoma ductal in situ de la mama
title_full_unstemmed	Tratamiento conservador del carcinoma ductal in situ de la mama
title_sort	tratamiento conservador del carcinoma ductal in situ de la mama
publisher	Sociedad Médica de Santiago
publishDate	1999
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001100008
work_keys_str_mv	AT hepprodrigo tratamientoconservadordelcarcinomaductalinsitudelamama AT baezabmramon tratamientoconservadordelcarcinomaductalinsitudelamama
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Tratamiento conservador del carcinoma ductal in situ de la mama

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