Abstract
Background: Breast conserving surgery and sentinel lymph node biopsy has become the standard operation for early breast cancer. This operation has been performed under local anesthesia for patients that would like short-term admission or for those not indicated for general anesthesia due to complications. This report presents the outcomes of breast conserving surgery and sentinel lymph node biopsy under local anesthesia. Patients and Methods: The study included 61 patients with breast cancer that were all definitely diagnosed before surgery. The indications were preoperatively diagnosed localized DCIS, invasive carcinoma measuring less than 3 cm in tumor diameter on ultrasound, and tumors with negative axillary lymph nodes. The surgical procedures included breast conserving surgery associated with sentinel lymph node navigation biopsy. Results: The surgery could be performed under local anesthesia in all 61 patients, and no patient was converted to general anesthesia. Four patients had sentinel lymph node metastasis. Surgical stumps were positive in 18 patients (29.5%). Ten Gy of boost irradiation of the tumor bed was added to the conventional breast irradiation for these patients. There were no serious complications associated with surgery. Conclusion: Breast conserving surgery and sentinel lymph node biopsy for early breast cancer can be performed safely under local anesthesia. This procedure contributes to shortening the length of hospitalization and thereby saving medical resources without deceasing the quality of treatment.
Highlights
There is a trend towards more frequently performing breast conserving surgery for breast cancer, and partial breast resection (Bp) combined with sentinel lymph node biopsy (SNB) has became one of the standard treatment methods for early-stage breast cancer [1,2,3,4,5]
This study reviewed the results of breast conserving surgery for breast cancer under local anesthesia in this department, and discussed its feasibility
Surgery could be completed under local anesthesia in all patients, and no patients had to be converted from local to general anesthesia
Summary
There is a trend towards more frequently performing breast conserving surgery for breast cancer, and partial breast resection (Bp) combined with sentinel lymph node biopsy (SNB) has became one of the standard treatment methods for early-stage breast cancer [1,2,3,4,5]. Breast conserving surgery and sentinel lymph node biopsy has become the standard operation for early breast cancer. This operation has been performed under local anesthesia for patients that would like short-term admission or for those not indicated for general anesthesia due to complications. The surgical procedures included breast conserving surgery associated with sentinel lymph node navigation biopsy. Conclusion: Breast conserving surgery and sentinel lymph node biopsy for early breast cancer can be performed safely under local anesthesia. This procedure contributes to shortening the length of hospitalization and thereby saving medical resources without deceasing the quality of treatment
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