Radical mastectomy: thick vs thin skin flaps.
Identifieur interne : 00F635 ( Main/Exploration ); précédent : 00F634; suivant : 00F636Radical mastectomy: thick vs thin skin flaps.
Auteurs : I T Krohn ; D R Cooper ; J G BassettSource :
- Archives of surgery (Chicago, Ill. : 1960) [ 0004-0010 ] ; 1982.
Descripteurs français
- KwdFr :
- MESH :
- mortalité : Tumeurs du sein.
- radiothérapie : Tumeurs du sein.
- étiologie : Infection de plaie opératoire, Lymphoedème.
- Durée du séjour, Femelle, Humains, Lambeaux chirurgicaux, Mastectomie, Métastase lymphatique, Stade de la tumeur, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema, Surgical Wound Infection.
- methods : Mastectomy.
- mortality : Breast Neoplasms.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Female, Humans, Length of Stay, Lymphatic Metastasis, Neoplasm Staging, Retrospective Studies, Surgical Flaps.
Abstract
Radical mastectomy with wide skin excision, ultrathin skin flaps, and autogenous skin grafts was a selected treatment of 45 women with curable breast cancer. A similar group of 45 women were treated by radical mastectomy with less wide skin excision, primary wound closure, and without ultrathin skin flaps. The two patient series were comparable in clinical disease staging, age, axillary node metastases, and frequency of adjunctive chest-wall irradiation. Retrospective chart reviews of the two patient series and statistical analyses indicated that five-and ten-year survival and local recurrences were comparable, but wound complications, hospital stays, and subsequent lymphedema were significantly greater in the series with thinner skin flaps. We recommend that routine use of ultrathin flaps be abandoned for treatment of breast cancer.
PubMed: 7082166
Affiliations:
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Le document en format XML
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<series><title level="j">Archives of surgery (Chicago, Ill. : 1960)</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast Neoplasms (mortality)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy (methods)</term>
<term>Neoplasm Staging</term>
<term>Retrospective Studies</term>
<term>Surgical Flaps</term>
<term>Surgical Wound Infection (etiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Durée du séjour</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infection de plaie opératoire (étiologie)</term>
<term>Lambeaux chirurgicaux</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie ()</term>
<term>Métastase lymphatique</term>
<term>Stade de la tumeur</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (mortalité)</term>
<term>Tumeurs du sein (radiothérapie)</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Infection de plaie opératoire</term>
<term>Lymphoedème</term>
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<term>Humans</term>
<term>Length of Stay</term>
<term>Lymphatic Metastasis</term>
<term>Neoplasm Staging</term>
<term>Retrospective Studies</term>
<term>Surgical Flaps</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Mastectomie</term>
<term>Métastase lymphatique</term>
<term>Stade de la tumeur</term>
<term>Tumeurs du sein</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">Radical mastectomy with wide skin excision, ultrathin skin flaps, and autogenous skin grafts was a selected treatment of 45 women with curable breast cancer. A similar group of 45 women were treated by radical mastectomy with less wide skin excision, primary wound closure, and without ultrathin skin flaps. The two patient series were comparable in clinical disease staging, age, axillary node metastases, and frequency of adjunctive chest-wall irradiation. Retrospective chart reviews of the two patient series and statistical analyses indicated that five-and ten-year survival and local recurrences were comparable, but wound complications, hospital stays, and subsequent lymphedema were significantly greater in the series with thinner skin flaps. We recommend that routine use of ultrathin flaps be abandoned for treatment of breast cancer.</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Bassett, J G" sort="Bassett, J G" uniqKey="Bassett J" first="J G" last="Bassett">J G Bassett</name>
<name sortKey="Cooper, D R" sort="Cooper, D R" uniqKey="Cooper D" first="D R" last="Cooper">D R Cooper</name>
<name sortKey="Krohn, I T" sort="Krohn, I T" uniqKey="Krohn I" first="I T" last="Krohn">I T Krohn</name>
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