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Surgical Treatment of Early Breast Cancer Under Local Anesthesia
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Original Article
VOLUME: 52 ISSUE: 1
P: 184-188
2019

Surgical Treatment of Early Breast Cancer Under Local Anesthesia

Acta Haematol Oncol Turc 2019;52(1):184-188
DOI: 10.5505/aot.2019.37232
Kemal Beksaç 1
Bahadır Çetin 1
1. Ankara Oncology Hospital, Department of General Surgery, Ankara, Turkey
2.
No information available.
No information available
Received Date: 2018-02-28T13:45:39
Accepted Date: 2019-04-09T13:58:49
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Abstract

INTRODUCTION

To show the viability of breast-conserving surgery under local anesthesia.

METHODS

60 consecutive breast cancer patients treated with breast-conserving surgery under local anesthesia are reported in this study. Wide excisional biopsy and sentinel lymph node biopsy were performed in all patients. Wire-guided biopsy method was used in non-palpable lesions. Techniques used are described in detail.

RESULTS

Average time between excisional biopsy and sentinel lymph node biopsy was 27.1±3 days. Wire-guided excisional biopsy was the method of choice in 24 (40%) patients. In 51 of 60 (85%) patients, surgery was completed under local anesthesia. 9 (15%) patients’ sentinel lymph node biopsy result was tumour-positive. These patients required axillary dissection under general anesthesia. None of the patients showed intolerance to surgery under local anesthesia.

DISCUSSION AND CONCLUSION

Surgery under local anesthesia provides significantly better patient comfort as the patients can be handled in the outpatient clinic. Local anesthesia is free of side effects and extra costs of general anesthesia are avoided. Our report is a good addition to the literature supporting the viability of the technique.