Surgical Management of Locoregional Recurrence in Breast Cancer

被引：7

作者：

Goel, Ashish ^{[1
]}

Agarwal, Varun Kumar ^{[1
]}

Nayak, Vikash ^{[1
]}

Yogsrivas, Rekha ^{[1
]}

Gulia, Abhishek ^{[1
]}

机构：

[1] Jaypee Hosp, Dept Surg & Radiat Oncolgy, Noida, India

来源：

INDIAN JOURNAL OF SURGICAL ONCOLOGY | 2021年 / 12卷 / 03期

关键词：

Recurrent breast cancer; Redo breast conservation surgery; Salvage mastectomy; Re-irradiation; CHEST-WALL; ADJUVANT CHEMOTHERAPY; LOCAL RECURRENCE; CONSERVATION TREATMENT; SALVAGE MASTECTOMY; RECONSTRUCTION; THERAPY; COMPLICATIONS; RADIOTHERAPY; METAANALYSIS;

D O I：

10.1007/s13193-021-01342-4

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Locoregional recurrences from breast cancer represent a heterogeneous group of disease that poses a therapeutic challenge and needs a multidisciplinary team management. The incidence of local recurrence after breast conservation surgery ranges from 10 to 22% and 5-15% after mastectomy at 10-year follow-up. Management of locoregional recurrence depends on tumor biology, stage at presentation, and prior local and systemic therapy. With improvements in diagnostic, pathological, and surgical techniques, radiation and systemic therapy approach, outcomes in these patients have improved. In this review, we discuss the risk factors, prognostic factors, surgical and reconstruction options, re-irradiation, and role of systemic therapy to define a reasonable treatment approach without compromising oncologic safety and achieve good cosmetic and survival outcomes.

引用

页码：616 / 623

页数：8

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