Endoscopic breast conservation surgery for early-stage invasive carcinoma: a case report-first case from India
DOI:
https://doi.org/10.18203/2349-2902.isj20252293Keywords:
Mammographic screening, EBCS, Case reportAbstract
This case report features a 60-year-old woman found during regular mammographic screening to have early-stage invasive tubular carcinoma. She had sentinel lymph node biopsy (SLNB) combined with endoscopic breast conservation surgery (EBCS). The operation was successfully carried out with great cosmetic results, little postoperative pain, and no instant side effects. Histopathological analysis confirmed invasive tubular carcinoma with negative margins and a tumor-free sentinel node. In suitably chosen patients, this case shows EBCS's viability, safety, and oncological adequacy. While observing oncological standards, it also highlights the possible advantages of minimally invasive methods in breast cancer surgery, such improved cosmetic results, lower morbidity, and greater patient satisfaction.
Metrics
References
Lai HW, Chen ST, Mok CW, Chang YT, Lin SL, Lin YJ, et al. Single-port three-dimensional (3D) videoscope-assisted endoscopic nipple-sparing mastectomy in the management of breast cancer: technique, clinical outcomes, medical cost, learning curve, and patient-reported aesthetic results from 80 preliminary procedures. Ann Surg Oncol. 2021;28(12):7331–44. DOI: https://doi.org/10.1245/s10434-021-09964-2
Mok CW, Lai HW. Evolution of minimal access breast surgery. Gland Surg. 2019;8(6):784–93. DOI: https://doi.org/10.21037/gs.2019.11.16
Yoon J, Kang SI, Kim MH, Kim MJ, Oh HK, Kim DW, et al. Comparison of short-term outcomes between 3D and 2D imaging laparoscopic colectomy with D3 lymphadenectomy for colon cancer. J Laparoendosc Adv Surg Tech A. 2019;29(3):340–5. DOI: https://doi.org/10.1089/lap.2018.0317
Harada H, Kanaji S, Hasegawa H, Yamamoto M, Matsuda Y, Yamashita K, et al. The effect on surgical skills of expert surgeons using 3D/HD and 2D/4K resolution monitors in laparoscopic phantom tasks. Surg Endosc. 2018;32(10):4228–34. DOI: https://doi.org/10.1007/s00464-018-6169-1
Lef DR, Vashisht R, Yongue G, Keshtgar M, Yang GZ, Darzi A. Endoscopic breast surgery: where are we now and what might the future hold for video-assisted breast surgery. Breast Cancer Res Treat. 2011;125(3):607–25. DOI: https://doi.org/10.1007/s10549-010-1258-4
Tamaki Y, Sakita I, Miyoshi Y, Sekimoto M, Takiguchi S, Monden M, et al. Transareolar endoscopy-assisted partial mastectomy: a preliminary report of six cases. Surg Laparosc Endosc Percutan Tech. 2001;11(6):356–62. DOI: https://doi.org/10.1097/00129689-200112000-00003
Soybir G, Fukuma E. Endoscopy assisted oncoplastic breast surgery (EAOBS). J Breast Health. 2015;11(2):52–8. DOI: https://doi.org/10.5152/tjbh.2015.2520
Lai HW, Chen ST, Mok CW, Lin SL, Tai CM, Chen DR, et al. Single-port 3-dimensional videoscope-assisted endoscopic nipple-sparing mastectomy in the management of breast cancer. Plast Reconstr Surg Glob Open. 2019;7(8):2367. DOI: https://doi.org/10.1097/GOX.0000000000002367
Zhu L, Li S, Tan L, Zhang X, Wu J, Su F, et al. In pursuit of a flawless aphrodite: paving the way to scarless oncoplastic breast surgery. Cancer Commun (Lond). 2019;39(1):82. DOI: https://doi.org/10.1186/s40880-019-0422-4
Wang ZH, Xin P, Qu X, Zhang ZT. Breast reconstruction using a laparoscopically harvested pedicled omental flap after endoscopic mastectomy for patients with breast cancer: an observational study of a minimally invasive method. Gland Surg. 2020;9(3):676–88. DOI: https://doi.org/10.21037/gs.2020.04.06
Alço G, Igdem S, Okkan S, Dincer M, Sarsenov D, Ilgun AS, et al. Replacement of the tumor bed following oncoplastic breast-conserving surgery with immediate latissimus dorsi miniflap. Mol Clin Oncol. 2016;5(4):365–71. DOI: https://doi.org/10.3892/mco.2016.984