%0 Journal Article
%T Cancer de mama: cirug¨ªa conservadora vs mastectomia radical Breast cancer: conservative surgery versus radical mastectomy
%A Gilberto Cabrera Nogueira
%A Carlos S¨¢nchez Portela
%A Roberto Sosa Hern¨¢ndez
%J Revista de Ciencias M£¿£¿dicas de Pinar del R£¿-o
%D 2005
%I Editorial Ciencias M¨¦dicas
%X Se realiz¨® un estudio retrospectivo y comparativo tomando como universo 530 pacientes portadoras de c¨¢ncer de mama en las etapas I y II de la enfermedad, operadas en el servicio de Cirug¨ªa General del Hospital Cl¨ªnico Quir¨²rgico "Abel Santamar¨ªa Cuadrado" de Pinar del R¨ªo, en el per¨ªodo de tiempo comprendido entre el 1ero. de Enero de 1988 y el 31 de Diciembre de 2003, las que fueron intervenidas por diferentes t¨¦cnicas, 345 (65,09%) con proceder conservador y 185 (34,90%) con t¨¦cnicas radicales (Patey, mastectom¨ªa total ampliada y mastectom¨ªa simple). El comportamiento de las recidivas locales fue significativo (pAimed at assessing breast cancer behaviour according to operative procedures a retrospective and comparative study was conducted taking as universe 530 female patients suffering from breast cancer (I and II stages of the disease) at Abel Santamar¨ªa University Hospital during the period of January 1st, 1998 and December 31, 2003 using different operative procedures, 345 (65.09 %) with conservative operative procedure and 185 (34.90 %) with radical mastectomy (Patey total wide mastectomy and simple mastectomy). Behaviour of local relapses was significant (p < 0.005) in favour of conservative operation 9.59 % and 18.37 % of radical operative procedures; a similar behaviour was present with distant metastases 8.11 % in those treated conservatively and 20.0 % in radical treatments. Global survival in 5 years favoured those patients who underwent conservative operation (90.47 %) in relation to those with radical mastectomy (73.64 %) p < 0.005.
%K CIRUGIA
%K MAMA
%K NEOPLASMAS DE LA MAMA
%K cirug¨ªa
%K tratamiento
%K METETASTASIS DEL NEOPLASMA
%K BREAST NEOPLASMA
%K surgery
%K treatment
%K MASTECTOMY RADICAL
%K NEOPLASM METASTASIS
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942005000100002