Dados do Trabalho

Título

TIPOS DE CIRURGIA E RECONSTRUÇAO MAMARIA EM PACIENTES TRATADAS PELO SUS NO HOSPITAL PEROLA BYINGTON

Título em Inglês

TYPES OF SURGERY AND BREAST RECONSTRUCTIONS PERFORMED ON PATIENTS TREATED BY SUS AT PÉROLA BYINGTON HOSPITAL

Introdução

Breast cancer is the most frequent cause of cancer death in women, also haunting them because surgical treatment can vary from expanded resection to mastectomy, causing aesthetic, functional, psychological and social damage. In Brazil, where 70% of the population is treated in the Unified Health System (SUS) and about 55% of cases are treated in advanced stages, most patients undergo mastectomy without immediate reconstruction. However, opportunistic mammographic screening carried out in some large cities has led to an increase in the number of diagnoses in the initial stages and, thus, a decrease in mortality from breast cancer, in addition to the possibility of less radical surgical treatments. Due to the scarcity of data in this population, we decided to conduct an observational study at our institution.

Objetivos

This work aims to characterize the types of surgical treatment that patients with breast cancer were submitted to at the Women's Health Reference Center (CRSM) Hospital Pérola Byington in São Paulo, SP, in the period from 2015 to 2019 and breast reconstructions carried out from January 2015 to December 2019

Métodos

This is a retrospective, descriptive observational study conducted through the review of medical records of patients followed up at our service. Inclusion criteria were female patients diagnosed with malignant breast cancer treated with conservative and radical surgery, with or without immediate and late reconstruction in this 5-year period.

Resultados

At CRSM in in the period from 2015 to 2019, 9,097 surgical procedures were performed for the treatment of breast cancer. Radical surgeries represented 53.5% of the total with 2% of adenectomies. Regarding conservative surgeries, there were 4,222 procedures, 43.4% of which were quadrantectomies. In the period from January 2015 to December 2019, 4,902 breast reconstructions were performed, 17.8% of which were immediate

Conclusões

Our data also show 51.5% of patients undergoing mastectomy due to the predominance of tumors in stages II and III. However, about 47% of the patients were treated conservatively for their efforts to reduce the time to diagnose palpable lesions and the opportunistic screening performed in the city of São Paulo, resulting in a proportion of 46.5% of the patients who underwent conservative surgery. Breast reconstruction was performed in 46.8% of mastectomies, with only 82.4% being late.

Palavras Chave

BREAST CANCER; BREAST RECONSTRUCTION; MASTECTOMY; CONSERVATIVES SURGERIES; BREAST SURGERIES; PÉROLA BYINGTON HOSPITAL

Área

TREATMENT - Surgery and Reconstruction