RECAÍDAS LOCALES POSTERIOR A TRATAMIENTO RADICAL EVALUACIÓN DE INFILTRACIÓN DEL COMPLEJO AREOLA-PEZÓN

Abstract

OBJECTIVE: The experience in our institution during the period 2004-2005 in local recurrence of breast cancer. METHOD: Realized study clinical, retrospective, descriptive during 2004-2005, in patients with radical treatment, adjuvant radiation therapy and chemotherapy if exist indication. Some received neoadjuvant chemotherapy. RESULTS: 167 patients underwent radical mastectomy. Histological diagnostic was 80 % (128) ductal infiltrante carcinoma, 4.19 % in situ carcinoma. The more frequent localization was mammalian center 35.48 %. 3.65 % was stage I, 35.58 % stage II 53.65 %, stage III 6.09 % stage IV. 57 patients (34 %) with neoadjuvant chemotherapy. We realized 161 radical mastectomy Madden type (94.7 %), 2 radical mastectomy Patey type and 4 mastectomy total simple 2 with node sentinel. 29 (17.36 %) had infiltration to the areola nipple zone. 20 (68.96 %) were localized in center mammalian region. The average age was 53.6 years, 18 patients (62.07 %) were ubicated in stage III (37.93 %), 72.94 % received adjuvant chemotherapy. 61.76 % received radiation therapy, 15 (51.72 %) patients were alive without disease, 1 live with local recurrence, 5 staying alive with systemic disease and 6 (20.67 %) dead by the disease. The control average was 36.14 month. 5 patients of the total (2.9 %) presented local recurrence. CONCLUSION: The radical mastectomy is a therapeutically first arm, the local recurrence index are minor in the special centers. The infiltration of the areola nipple complex is more frequent in the center mammalian region.