Comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patients

Abstract Objectives Breast conserving surgery (BCS) for early breast cancer is now an accepted treatment, but there are controversies about its comparability with mastectomy. Thus, we investigated the survival outcomes who underwent BCS and modified radical mastectomy (MRM). Methods In this retrospe...

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Main Authors: Yoon Seok Kim, Dong Won Ryu, Chung Han Lee
Format: Article
Language:English
Published: Kosin University College of Medicine 2016-06-01
Series:Kosin Medical Journal
Subjects:
Online Access:http://www.kosinmedj.org/upload/pdf/ksmc031-01-03.pdf
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author Yoon Seok Kim
Dong Won Ryu
Chung Han Lee
author_facet Yoon Seok Kim
Dong Won Ryu
Chung Han Lee
author_sort Yoon Seok Kim
collection DOAJ
description Abstract Objectives Breast conserving surgery (BCS) for early breast cancer is now an accepted treatment, but there are controversies about its comparability with mastectomy. Thus, we investigated the survival outcomes who underwent BCS and modified radical mastectomy (MRM). Methods In this retrospective review, we analyzed the survival outcomes of 618 patients with early breast cancer who underwent two different surgery from January 2002 to December 2009. Postoperative pathologic difference, disease free survival period, overall survival period, recurrence pattern, recurrent rate and site were compared. In addition, preoperative patients data are also collected. Results Disease free survival period of MRM and BCS was 108.46 months and 80.82 months, respectively (P< 0.01). However, there was no significant correlation between overall survival period and operative methods (P= 0.67). In addition, recurrence pattern (P= 0.21), recurrent rate (P= 0.36) and site (P= 0.45, P= 0.09) were not associated with operative method. Conclusions In this study, we can suggest that early breast cancer patients could improve their disease free survival if they underwent MRM. So, when we operate high risk breast cancer patients, MRM could be considered for their disease free life. Further studies may be required to establish appropriate strategy of surgery for early breast cancer.
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spelling doaj.art-ecd733bf2458402a860f60aac0233c8b2022-12-22T03:23:11ZengKosin University College of MedicineKosin Medical Journal2005-95312586-70242016-06-01311192910.7180/kmj.2016.31.1.191164Comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patientsYoon Seok Kim0Dong Won Ryu1Chung Han Lee2Department of Surgery, Busan adventist Hospital, Busan, KoreaDepartment of Surgery, College of Medicine, Kosin University, Busan, KoreaDepartment of Surgery, College of Medicine, Kosin University, Busan, KoreaAbstract Objectives Breast conserving surgery (BCS) for early breast cancer is now an accepted treatment, but there are controversies about its comparability with mastectomy. Thus, we investigated the survival outcomes who underwent BCS and modified radical mastectomy (MRM). Methods In this retrospective review, we analyzed the survival outcomes of 618 patients with early breast cancer who underwent two different surgery from January 2002 to December 2009. Postoperative pathologic difference, disease free survival period, overall survival period, recurrence pattern, recurrent rate and site were compared. In addition, preoperative patients data are also collected. Results Disease free survival period of MRM and BCS was 108.46 months and 80.82 months, respectively (P< 0.01). However, there was no significant correlation between overall survival period and operative methods (P= 0.67). In addition, recurrence pattern (P= 0.21), recurrent rate (P= 0.36) and site (P= 0.45, P= 0.09) were not associated with operative method. Conclusions In this study, we can suggest that early breast cancer patients could improve their disease free survival if they underwent MRM. So, when we operate high risk breast cancer patients, MRM could be considered for their disease free life. Further studies may be required to establish appropriate strategy of surgery for early breast cancer.http://www.kosinmedj.org/upload/pdf/ksmc031-01-03.pdfbreast conserving surgerydisease free survivalearly breast cancermodified radical mastectomy
spellingShingle Yoon Seok Kim
Dong Won Ryu
Chung Han Lee
Comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patients
Kosin Medical Journal
breast conserving surgery
disease free survival
early breast cancer
modified radical mastectomy
title Comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patients
title_full Comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patients
title_fullStr Comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patients
title_full_unstemmed Comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patients
title_short Comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patients
title_sort comparison of survival outcomes between modified radical mastectomy and breast conserving surgery in early breast cancer patients
topic breast conserving surgery
disease free survival
early breast cancer
modified radical mastectomy
url http://www.kosinmedj.org/upload/pdf/ksmc031-01-03.pdf
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AT dongwonryu comparisonofsurvivaloutcomesbetweenmodifiedradicalmastectomyandbreastconservingsurgeryinearlybreastcancerpatients
AT chunghanlee comparisonofsurvivaloutcomesbetweenmodifiedradicalmastectomyandbreastconservingsurgeryinearlybreastcancerpatients