Avaliação da dissecção axilar na mastectomia radical modificada a Madden para o tratamento do câncer mamário

Two-hundred twenty nine patients with breast câncer treatedat Araújo Jorge Hospital between 1979 and 1988, were studied regarding the number of dissected lymphonodes. Out of those, 175 were submitted to classical radical mastectomy (CRM) and 54 to modified radical mastectomy sparing both pectoralis...

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Detalhes bibliográficos
Autores: Queiroz, Geraldo S., Jorge, Estanislau Araújo, Dourado, Francisco Assis F., Ferreira, Rui Gilberto, Freitas Júnior, Ruffo De, Ferreira, George Morais, Cardoso, Vasco Martins, Paula, Élbio Cândido de
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Recursos:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
Repositorio:Revista Brasileira de Cancerologia (Online)
Idioma:portugués
OAI Identifier:oai:rbc.inca.gov.br:article/2974
Acesso em linha:https://rbc.inca.gov.br/index.php/revista/article/view/2974
Access Level:acceso abierto
Palavra-chave:Câncer de Mama
Mastectomia
Linfonodos
Breast Cancer
Mastectomy
Lymphonodes
Descrição
Resumo:Two-hundred twenty nine patients with breast câncer treatedat Araújo Jorge Hospital between 1979 and 1988, were studied regarding the number of dissected lymphonodes. Out of those, 175 were submitted to classical radical mastectomy (CRM) and 54 to modified radical mastectomy sparing both pectoralis muscles (MRM). There were no influence of clinical staging or previous therapy on the surgical procedure. Young patients were more frequently submitted to CRM. The mean dissected nodes was higher with CRM than with MRM, 23 and 18 respectively. More than 30 nodes dissected wasachievedonly with CRM (p < 0.001). It is concluded that CRM allows better axiliary clearance when compared to MRM sparing both pectoralis muscles.