Artigo de periodico

Immediate reconstruction following breast-conserving surgery: management of the positive surgical margins and influence on secondary reconstruction (2009)

• Authors:
  • Munhoz, Alexandre Mendonça
  • Montag, Eduardo
  • Arruda, Eduardo
  • Aldrighi, Claudia Maria
  • Filassi, José R.
  • Piato, José R.
  • Prado, Luis C
  • Aldrighi, José Mendes
  • Gemperli, Rolf
  • Ferreira, Marcus C
• Autor USP: ALDRIGHI, JOSÉ MENDES - FSP
• Unidade: FSP
• DOI: 10.1016/j.breast.2008.10.005
• Subjects: MAMOPLASTIA (TÉCNICAS); CIRURGIA PLÁSTICA (TÉCNICAS); MASTECTOMIA (TÉCNICAS;CONSERVAÇÃO); MAMA (RECONSTRUÇÃO;COMPLICAÇÕES;TÉCNICAS); NEOPLASIAS MAMÁRIAS (CIRURGIA)
• Language: Inglês
• Abstract: The efficacy of breast-conserving surgery for the local control of early breast cancer has been repeatedly evidenced. Although immediate reconstruction following breast-conserving surgery has been described, little information is available regarding surgical management in reoperative settings due to positive margins. We studied the influence of intraoperatively assessed and postoperatively controlled surgical margin status on the type of breast-conserving surgery and report our results regarding complications in a reoperative breast reconstruction scenario. All patients were seen by a multidisciplinary team who recommended breast-conserving surgery. According to the breast volume, ptosis and tumor size/location, the patients were also evaluated by a plastic surgeon, who recommended reconstruction with the appropriate technique. Intraoperative assessment of surgical margins was determined by histological examination of frozen sections. The mean follow-up time was 48months. Two hundred and eighteen patients (88.5 per cent ) underwent breast-conserving surgery and immediate reconstruction. Twelve (5.5 per cent ) patients had a positive tumor margin after review of the permanent section. All patients underwent re-exploration. In 1.3 per cent , a second reconstructive technique was indicated and in 2.2 per cent a skin-sparing mastectomy with total reconstruction was performed. Our findings support the important role of the intraoperative assessment of surgical margins andits interference in the selection of reconstruction techniques and negative margins; however, it will not guarantee complete excision of the tumor. Success depends on coordinated planning with the oncologic surgeon and careful intraoperative management
• Imprenta:
  • Publisher place: Edinburgh
  • Date published: 2009
• Source:
  • Título: The Breast
  • ISSN: 0960-9776
  • Volume/Número/Paginação/Ano: v. 18, Suppl. 3, p. 47-54, 2009

Informações sobre o DOI: 10.1016/j.breast.2008.10.005 (Fonte: oaDOI API)
• Este periódico é de acesso aberto
• Este artigo NÃO é de acesso aberto
  

---

How to cite

A citação é gerada automaticamente e pode não estar totalmente de acordo com as normas

• ABNT

  MUNHOZ, Alexandre Mendonça et al. Immediate reconstruction following breast-conserving surgery: management of the positive surgical margins and influence on secondary reconstruction. The Breast, v. 18, p. 47-54, 2009Tradução . . Disponível em: https://doi.org/10.1016/j.breast.2008.10.005. Acesso em: 27 jan. 2026.

• APA

  Munhoz, A. M., Montag, E., Arruda, E., Aldrighi, C. M., Filassi, J. R., Piato, J. R., et al. (2009). Immediate reconstruction following breast-conserving surgery: management of the positive surgical margins and influence on secondary reconstruction. The Breast, 18, 47-54. doi:10.1016/j.breast.2008.10.005

• NLM

  Munhoz AM, Montag E, Arruda E, Aldrighi CM, Filassi JR, Piato JR, Prado LC, Aldrighi JM, Gemperli R, Ferreira MC. Immediate reconstruction following breast-conserving surgery: management of the positive surgical margins and influence on secondary reconstruction [Internet]. The Breast. 2009 ; 18 47-54.[citado 2026 jan. 27 ] Available from: https://doi.org/10.1016/j.breast.2008.10.005

• Vancouver

  Munhoz AM, Montag E, Arruda E, Aldrighi CM, Filassi JR, Piato JR, Prado LC, Aldrighi JM, Gemperli R, Ferreira MC. Immediate reconstruction following breast-conserving surgery: management of the positive surgical margins and influence on secondary reconstruction [Internet]. The Breast. 2009 ; 18 47-54.[citado 2026 jan. 27 ] Available from: https://doi.org/10.1016/j.breast.2008.10.005

Últimas obras dos mesmos autores vinculados com a USP cadastradas na BDPI:

• Efeitos do raloxifeno comparado a terapêutica de reposição hormonal contendo estradiol associado a progestógeno sobre a complacência vascular, em mulheres idosas com hipertensão arterial sistêmica
• Efeito da terapia de reposição hormonal na complacência vascular em mulheres na pós-menopausa
• Comparison between raloxifene and hormone replacement therapy on ambulatory blood pressure and arterial stiffness
• Efeitos da terapêutica de reposição hormonal transdérmica combinada e do raloxifeno sobre a proteína C reativa e anticorpos anti-LDL oxidada
• Papel da terapia da reposição hormonal I: lípide, glicose, distribuição da gordura corpórea e endotélio
• Effects of hormone replacement therapy or raloxifene on ambulatory blood pressures and arterial stoffness in treated hypertensive postmenopausal women
• Prevenção primária da doença cardiovascular na mulher
• Cardiopatia na mulher
• Qualidade do sono em mulheres paulistanas no climatério
• Epidemiologia e fatores de risco da doença cardiovascular após a menopausa