Estadísticas

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      "titulo" => "Restablecimiento de la continuidad colónica tras la intervención de Hartmann: experiencia de la provincia de Castellón"
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    "titulo" => "Recidiva local asociada a la cirugía conservadora del cáncer de mama"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> The objective of this report was to establish the role of conservative surgery as the primary therapeutic procedure in breast cancer&#44; and to study the rate of local recurrence &#40;LR&#41; and the associated prognostic factors&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> The study dealt with 275 breast cancer patients who had undergone conservative surgery&#46; The inclusion criteria were&#58; TNM clinical stage I or II&#44; suitable ratio between breast and tumor volume&#44; solitary lesion&#44; focal microcalcifications and patient consent&#46; Tumor resection was performed in 141 patients and quadrantectomy in 134&#59; all the patients underwent axillary lymphadenectomy and radiotherapy of the diseased breast&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> The predominant histological type was infiltrating ductal carcinoma &#40;79&#37;&#41;&#44; the most common histological grade was G3 &#40;36&#37;&#41;&#44; and 101 patients were found to have lymph node involvement&#46; Twelve patients presented breast deformity and 35 showed skin changes&#46; Fourteen patients presented LR&#46; Tumor size T2 was associated with the highest incidence of LR&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; Conservative breast cancer surgery in stages I and II eradicates local and regional disease&#44; with satisfactory cosmetic results&#46; Tumor size T2 was the only prognostic factor significantly associated with LR&#46;"
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