Just over a year ago, that was me – in identical gown, in identical NHS-issue bed, coming round after an op, too, although in my case it was a lumpectomy – partial surgery rather than a full mastectomy.
Partial surgery was performed six years later for cosmetic reasons.
She had run out of conventional treatment options after partial surgery and chemotherapy.
40 One major advantage of partial surgery is nephron-sparing, with a lower increase of creatininemia in the partial surgery group (P < 0.0001).
A recent report showed improvement of cachexia after partial surgery following failure of chemotherapy [ 7].
Fewer data have been reported with regard to quality of life but seem to be in favor of partial surgery.
Here, we describe a retrospective study focusing on patients undergoing conservative treatment associated with partial surgery and conventional external radiotherapy for invasive cancer.
It may be envisaged for cancers that are non-operable at the outset, or according to the size of the tumour, so as to enable partial surgery.
To obtain comparable data, we excluded patients who had previously undergone other types of chemotherapy (e.g., Mitomycin C, Epirubicin) or other therapies (thermotherapy, partial surgery).
The average age was 70 (range 65 82); ECOG PS was 0-1 in 35 patients and 2 in 25 patients; complete surgery was performed in 35 patients, while partial surgery was performed in 25 patients.
38, 39 In terms of complication rates and mortality, both techniques are almost identical, except for perioperative bleeding (P < 0.001) and urinary fistulas (P < 0.001), which are more frequent in partial surgery.
