CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Rozhl. Chir., 2004, roč. 83, č. 11, s. 597-603. |
Surgical
Therapy of the Ductal Carcinoma In Situ Gatěk J., Duben J., Hnátek L., Bakala J.1, Dudešek B., Goldmanová B. Chirurgické oddělení Nemocnice Atlas a.s., Zlín, vedoucí primář MUDr. J. Gatěk. Ph.D. Oddělení nukleární medicíny Baťova krajská nemocnice, Zlín, vedoucí primář MUDr. J. Bákala |
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Summary: Aim: Rates of the newly-detected DCIS reach up to 20% in developed countries. There is no unified therapeutic
scheme to deal with the disorder. The aim of this work is to assess the author’s own therapeutic results.
Methodology: From 1999 until 2003, 11 female patients suffering from the DCIS were treated and 2 DCIS
female patients were treated using microinvasion. The diagnosis was established 5× by the core-cut and 8× by
the surgical excision.
Results: The size of the tumors varied from 0.5 cm to 6.0 cm. Conservative procedures were performed 11
times, a simple mastectomy once and a mastectomy with reconstruction once, as well. The sentinel lymphonodes
were examined in all cases and once the examination was accompanied by the axilla dissection. The number of
the sentinel lymphonodes was 29. All of the lymphonodes were negative. Seven female patients were given
a complementary therapy. All female patients have had no local relapse in the breast and have had no signs of
the disease process since. The average follow-up time is 13.5 months.
Conclusion: The conservative procedures sufficiently provide treatment of early forms of the DCIS of the
breast. The sentinel lymphonode biopsy is a patient- kind method, giving exact information on the status of the
axillary lymphonodes and it is considered a suitable part of the DCIS therapy.
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