Simple recommendation for cases requiring re-excision on breast surgery

Year 2023, Volume: 48 Issue: 1, 314 - 316, 31.03.2023

Yasin Dalda , Emrah Sahın , Koray Kutlutürk

https://doi.org/10.17826/cumj.1218800

Abstract

Breast cancer is an important health problem that especially affects women. In breast cancer where surgical procedures are the primary treatment modality, breast-conserving surgery with radiotherapy is becoming more popular than mastectomy. Re-excision may be necessary in cases of recurrence or positive surgical margins. Damage to the cavity formed due to scar formation in the old operation lodge may make dissection difficult. Failure to see the dissection plan clearly may result in incomplete surgery or removal of excess tissue. We present how we macroscopically removed the lesion with clear margins with a simple technique we performed during surgery in a patient who underwent breast-conserving surgery for breast cancer and presented with suspicion of recurrence.

Keywords

Breast cancer, breast-conserving surgery, recurrence

Meme cerrahisinde re-eksizyon gerektiren vakalar için basit bir öneri'

Abstract

Meme kanseri özellikle kadınları etkileyen önemli bir sağlık sorunudur. Cerrahi prosedürlerin birincil tedavi yöntemi olduğu meme kanserinde, radyoterapi ile birlikte meme koruyucu cerrahi, mastektomiden daha popüler hale gelmektedir. Nüks veya pozitif cerrahi sınır durumlarında yeniden eksizyon gerekebilir. Eski ameliyat lojunda skar oluşumu nedeniyle oluşan kavitenin hasar görmesi diseksiyonu zorlaştırabilir. Diseksiyon planının net olarak görülememesi eksik cerrahi veya fazla doku çıkarılması ile sonuçlanabilir. Meme kanseri nedeniyle meme koruyucu cerrahi geçiren ve nüks şüphesiyle başvuran bir hastada ameliyat sırasında uyguladığımız basit bir teknikle lezyonu makroskopik olarak net sınırlarla nasıl çıkardığımızı sunuyoruz.

Keywords

meme kanseri, meme koruma cerrahisi, rekürrens

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