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Volume 9, Issue 9 (Suppl)

J Cancer Sci Ther, an open access journal

ISSN: 1948-5956

World Cancer 2017

October 19-21, 2017

25

th

WORLD CANCER CONFERENCE

October 19-21, 2017 | Rome, Italy

Single incision for early stage breast cancer: Aminimally invasive approach

Monica Rizzo

Emory University School of Medicine, USA

B

reast conserving surgery (BCS) with sentinel lymph node (SLN) biopsy is standard of care for the treatment of early

stage breast cancers. The use of a minimally-invasive single incision has not been rigorously compared to multi-incision

traditional approach. A tertiary surgical oncology database was retrospectively reviewed over two years study period. The single

incision approach used one incision to resect the tumor and the Lymphazurin-tagged axillary SLNs. The multi-incision group

used a breast and a separate axillary incision. Patient satisfaction was collected in the first postoperative visit and documented

as excellent, good and poor. BCS-SLN accounted for 110 patients with median age 63 years, with 64 (58%) cancers occurring

in the upper outer quadrant (UOQ). There were 48 patients in the single incision group. A single incision approach was used

in 41 (64%) of UOQ cancers (p<0.001), with a median of two SLNs. The single-incision approach showed no difference in

percentage of biopsy clip removal or frequency of tumor-free margins and did not prolong operative time. Overall, eight

patients (7.2%) had positive margins; seven underwent to re-excision and no residual disease was found, one patient refused

additional surgery. Patient satisfaction was excellent in all patients treated with a single incision. There were no differences in

complications or reoperations in the two groups. This study demonstrates that the single incision approach for BCS-SLN is safe

and effective. This technique should be considered for upper outer quadrant breast cancers, and has the potential to improve

patient satisfaction and cosmetic results.

Biography

Monica Rizzo is an Associate Professor of Surgery at Emory University School of Medicine. She is Board Certified by the American College of Surgeons. She did

her Surgical Oncology Fellowship at Emory University. She is an academic surgeon and her clinical expertise includes the surgical treatment of breast cancer,

melanoma, and soft tissue sarcoma. As a researcher, she has published more than 50 research articles in peer reviewed journals. She is currently serving at many

international committees. She is the Chair of the Society of Surgical Oncology Disparity Committee.

mrizzo@emory.edu

Monica Rizzo, J Cancer Sci Ther 2017, 9:9(Suppl)

DOI: 10.4172/1948-5956-C1-111