Halil İbrahim TAŞCI, Faruk AKSOY, MURAT ÇAKIR, Tevfik KÜÇÜKKARTALLAR, Ebubekir GÜNDEŞ, Adnan KARAİBRAHİM

Meme kanserlerinde meme koruyucu cerrahi deneyimimiz

Amaç: Bu çalışmada kliniğimizde meme kanseri nedeni ile meme koruyucu cerrahi uygulanmış olan hastaların uzun dönem sonuçları sunulmuştur. Yöntemler: Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Genel Cerrahi anabilim dalında Ocak 2005 ve Aralık 2013 tarihleri arasında meme kanseri nedeni ile meme koruyucu cerrahi uygulanan 99 hastanın verileri geriye dönük olarak incelenmiştir. Çalışmamıza ait analizler SPSS 21,0 paket programı kullanılarak yapıldı. Bulgular: Toplam hasta sayısı 99 ve yaş ortalaması 51.11 ± 9,62 (31-74)idi. En sık görülen patoloji infiltratif duktal karsinom idi (62 (%62,6) hastada). Vakaların %88,7 (87 olgu) sine operasyon sonrası adjuvan radyoterapi uygulandı. Ortalama 38,86 ± 23,43 (5-92) aylık takipler sonrasında sadece 1 hasta yaşamını yitirmiştir. 1 hasta operasyondan 70 ay sonra gelişe lokal nüks ve 3 hasta cerrahi sınırda tümör tespit edilmesi nedeni ile yeniden opere edildi. Sonuç: Meme kanserinin cerrahi tedavisindeki temel yaklaşım kabul edilebilir onkolojik sonuçlar sağladıktan sonra hastanın yaşam kalitesini en az etkileyecek yöntemi seçmektir. Bu noktada meme koruyucu cerrahinin doğru seçilmiş hastalarda radikal cerrahi yöntemler yerine tercih edilmesi uygun bir yaklaşımdır.

Our experience in breast conserving surgery in breast cancers

Objective: This study presents the long-term results of patients who had breast conserving surgery at our clinic because of breast cancer. Methods: The data of 99 patients, who had breast conserving surgery because of breast cancer between January 2005 and December 2013 at Necmettin Erbakan University, Meram Medical Schools Department of General Surgery, were retrospectively evaluated. The analyses of the study were conducted by the SPSS 21.0 program. Results: The total number of patients was 99 and the mean age was 51.11 ± 9.62 (31-74). The most frequently seen pathology was infiltrative ductal carcinoma and it was detected in 62 (62.6%) patients. 88.7% (87 cases) of the cases received adjuvant radiotherapy in the post-op period. Following the mean follow-up period of 38.86 ± 23.43 (5-92) months, only one patient passed away. Further, 1 patient underwent surgery again after having local recurrence 70 months later and 3 patients also underwent surgery again upon detecting that they had tumors on the surgical border. Conclusion: After obtaining acceptable oncological results, the fundamental approach in the surgical treatment of breast cancers is to select the method that will have the least negative effect on the patients quality of life. At this point, selecting breast conserving surgery over radical surgical methods is an appropriate approach for suitable patients chosen carefully.

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