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European Journal of General Medicine
Medical Investigations Society
ISSN: 1304-3897
Vol. 7, No. 3, 2010, pp. 288-295
Bioline Code: gm10064
Full paper language: English
Document type: Case Report
Document available free of charge

European Journal of General Medicine, Vol. 7, No. 3, 2010, pp. 288-295

 tr Cerrahiyi Kabul Etmeyen Operabl Meme Kanseri Hastalarfuses Surger
Biswal, Biswa M; Mahmood, Zainal; Salmah, J.; Othman, Nor H. & Khader, Mohamed Ali Abdul


Meme kanserinin multidisipiliner tedavisinde cerrahi hayati tedavi yöntemidir. Cerrah olmadan tedavinin sonucu komplike ve suboptimaldir. Hasta cerrahisi reddettiğinde veya klinik durumu cerrahiye uygun olmadığında onkologlar ikilemle karşılaşırlar. Burada cerrahiyi reddeden iki postmenapozal operabıl meme kanseri vakasını bildiriyoruz. Bu hastaları indüksiyon kemoterapisi, radikal radyoterapi ve hormonal tedavi ile tedavi ettik. Bu hastaların seri radyolojik değerlendirmeleri tedavi sonrası 88 ve 69. aylarda primer meme tümörünün ve aksiler lenf nodlarının iyi kosmetik görünümle birlikte tamamen kaybolduğunu gösterdi. Konservatif tedavi operabıl meme kanseri olan ve cerrahiyi reddeden postmenapozal kadınlarda bir seçenek olabilir. Yukarıdaki vakaların tartışmalı tedavi yaklaşımları literatür eşliğinde tartışıldı.


Meme kanseri, cerrahiyi red, radyoterapi, sonuç

 
 en Management of Operable Breast Cancers When Patient Refuses Surgery
Biswal, Biswa M; Mahmood, Zainal; Salmah, J.; Othman, Nor H. & Khader, Mohamed Ali Abdul

Abstract

Surgery is the crucial modality of management in the multidisciplinary care of breast cancer. Without surgery the outcome of treatment is complicated and sub-optimal. The oncologists face dilemma when patient refuse for surgery or not operable due to patients medical condition. Here we describe two post-menopausal women with operable breast cancers those refused surgery. We managed these patients with induction chemotherapy, radical radiotherapy and hormonal therapy. Their serial radiological evaluation revealed complete disappearance of primary breast tumor and axillary lymph nodes at the end of 88 and 69 months post treatment with good cosmesis. Conservative management may be an option among post-menopausal women with operable breast cancers those refuse surgery. The controversial management of above cases has been discussed with review of literature.

Keywords
Breast cancer, refuse surgery, radiotherapy, outcome

 
© Copyright 2010 European Journal of General Medicine.
Alternative site location: http://www.ejgm.org

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