Cirurgia oncoplástica da mama – passado, presente e futuro

  • J.-S. Leal de Faria Assistente Graduado de Cirurgia Geral – Responsável da Clínica da Mama do IPOLFG – EPE e Coordenador do Centro de Mama do H.Luz, Portugal
  • P. Viana Lopes Assistente de Cirurgia Geral – Unidade Funcional de Patologia de Mama – CHLC

Resumo

A cirurgia conservadora da mama tornou-se o tratamento standard do carcinoma da mama precoce. O objectivo primário desta abordagem é a remoção do cancro com margens cirúrgicas adequadas ao mesmo tempo que se preservam a forma natural e o aspecto da mama. Ainda se registam fracos resultados estéticos em até 40% dos pacientes. Para resolver este problema, foram desenvolvidas abordagens especializadas de ressecção com reconstrução concomitante, denominadas actualmente como cirurgia oncoplástica da mama. A complexidade dessas técnicas exige treino cirúrgico avançado e os critérios de selecção são de algum modo controversos. Neste artigo procuramos rever as diferentes técnicas e as linhas de orientação para a sua aplicação, revendo ao mesmo tempo a sua segurança oncológica.

Palavras-chave: Cancro da mama; cirurgia conservadora da mama; cirurgia oncoplástica da mama; mamoplastia. 

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Como Citar
LEAL DE FARIA, J.-S.; LOPES, P. Viana. Cirurgia oncoplástica da mama – passado, presente e futuro. Revista Portuguesa de Cirurgia, [S.l.], n. 27, p. 85-94, jan. 2014. ISSN 2183-1165. Disponível em: <https://revista.spcir.com/index.php/spcir/article/view/331>. Acesso em: 15 nov. 2019.
Secção
Caderno Especial