COMPARISON BETWEEN MASTECTOMY AND BREAST-CONSERVING SURGERY IN BREAST CANCER TREATMENT: A CRITICAL LITERATURE REVIEW
DOI:
https://doi.org/10.63330/armv1n7-010Keywords:
Breast cancer, Mastectomy, Lumpectomy, Quality of life, Critical reviewAbstract
This study presents a critical literature review on surgical approaches of mastectomy and breast-conserving surgery in breast cancer treatment, evaluating clinical efficacy, recurrence rates, postoperative complications, and impact on patients’ quality of life. Articles published between 2021 and 2023 were reviewed from databases such as PubMed, Scopus, Google Scholar, and Cochrane, including clinical trials, systematic reviews, and observational studies. Results indicate that both techniques are effective in terms of survival, while breast-conserving surgery offers better aesthetic outcomes, lower psychosocial impact, and higher patient satisfaction. Mastectomy remains indicated for large, multifocal tumors or when radiotherapy is contraindicated. This work emphasizes the importance of personalized surgical treatment, considering tumor characteristics and patient preferences, and provides guidance for evidence-based clinical practice.
References
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LEE, S. et al. Outcomes of breast-conserving surgery and radiotherapy in early-stage breast cancer. Breast Cancer Research, v. 45, n. 3, p. 234-246, 2023.
MARTINS, D. et al. Postoperative complications in mastectomy and breast-conserving surgery: A prospective study. Annals of Surgical Oncology, v. 28, n. 3, p. 788-795, 2021.
SMITH, J. et al. Five-year survival outcomes for mastectomy and breast-conserving surgery in advanced breast cancer. Journal of Clinical Oncology, v. 40, n. 1, p. 22-28, 2022.
WILSON, L. et al. Impact of breast-conserving surgery on quality of life and aesthetic outcomes. Journal of Women's Health, v. 30, n. 6, p. 854-860, 2021.
WILSON, M. et al. Breast cancer surgery and its impact on self-esteem and body image. Psychosomatic Medicine, v. 83, n. 4, p. 406-415, 2021.
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Copyright (c) 2025 João Victor Rodrigues da Silva, Rafaela Rayane Aguiar, Lara Sivieri Ferreira, Sofia Ozório Sgotti, Júlia Ribeiro de Amorim, Gabriela de Lima Rizzi, Hugo Fagundes Oliveira Brito Nunes, Nickolas Vieira Passos, João Gabriel Moreira Teles Bezerra , Débora Aparecida da Silva (Autor)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
