[Interest of systematic shavings to reduce reoperation in breast-conserving surgery of breast cancer]. / Intérêt des recoupes systématiques pour éviter les réinterventions dans la chirurgie conservatrice du cancer du sein.
Gynecol Obstet Fertil Senol
; 50(5): 395-401, 2022 05.
Article
em Fr
| MEDLINE
| ID: mdl-34896637
ABSTRACT
OBJECTIVE:
The INCa and HAS have developed quality and safety indicators for care specific to breast cancer. Among these, in the conservative surgery of this cancer includes the reoperation rate targetË10%, alert>20%. The main objective of our study was to evaluate whether the practice of systematic recuts still called "shaving" would meet the objectives of the indicators.METHODS:
Observational, retrospective, single-center study over two years in a regional referral center. Two groups of patients were compared one with "shaving" and one without (no shaving or oriented shaving).RESULTS:
In total, 381 patients were operated on, including 48 (12.6%) with shaving and 333 (87.4%) without. Revision rates for damaged margins were 18.75% (9/48) in the shaving group which met the quality criterias vs. 23.7% (79/333) which did not satisfy them; P=0.4. Furthermore, the rate of discovery of occult sites on recuts was higher in the shaving group 22.9% (11/48) vs. 9.9% (33/333); P=0.02. In the shaving group, 10.4% (5/48) of the patients were resected again for damaged margins for the initial cancer vs. 18.6% (62/333) in the group without shaving; P=0.23.CONCLUSION:
Our study confirms the interest of performing "shaving" to meet the requirements of the INCa and HAS quality criteria. The absence of systematic cross-sectioning leads to the risk of not recognizing the existence of occult sites. However, the discovery of occult cancers does not significantly reduce the rate of repeat surgery.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
/
Mastectomia Segmentar
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
Idioma:
Fr
Revista:
Gynecol Obstet Fertil Senol
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
França