Vis enkel innførsel

dc.contributor.authorDemicheli, Romanoen_US
dc.contributor.authorDillekås, Hannaen_US
dc.contributor.authorStraume, Oddbjørnen_US
dc.contributor.authorBiganzoli, Eliaen_US
dc.date.accessioned2020-03-23T14:11:46Z
dc.date.available2020-03-23T14:11:46Z
dc.date.issued2019
dc.PublishedDemicheli R, Dillekås HE, Straume O, Biganzoli E. Distant metastasis dynamics following subsequent surgeries after primary breast cancer removal. Breast Cancer Research. 2019;21:57eng
dc.identifier.issn1465-5411
dc.identifier.issn1465-542X
dc.identifier.urihttps://hdl.handle.net/1956/21573
dc.description.abstractBackground: The aim of the research was to separate the distant metastasis (DM) enhancing effect due to breast tumour removal from that due to surgical manoeuvre by itself. Methods: DM dynamics following surgery for ipsilateral breast tumour recurrence (IBTR), contralateral breast cancer (CBC) and delayed reconstruction (REC), which was performed after the original breast cancer surgical removal, was analysed. A total of 338 patients with IBTR, 239 with CBC and 312 with REC were studied. Results: The DM dynamics following IBTR, CBC and REC, when assessed with time origin at their surgical treatment, is similar to the analogous pattern following primary tumour removal, with a first major peak at about 18 months and a second lower one at about 5 years from surgery. The time span between primary tumour removal and the second surgery is influential on DM risk levels for IBTR and CBC patients, not for REC patients. Conclusions: The role of breast tumour removal is different from the role of surgery by itself. Our findings suggest that the major effect of reconstructive surgery is microscopic metastasis acceleration, while breast tumour surgical removal (either primary or IBTR or CBC) involves both tumour homeostasis interruption and microscopic metastasis growth acceleration. The removal of a breast tumour would eliminate its homeostatic restrains on metastatic foci, thus allowing metastasis development, which, in turn, would be supported by the forwarding action of the mechanisms triggered by the surgical wounding.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.titleDistant metastasis dynamics following subsequent surgeries after primary breast cancer removalen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2019-12-05T07:18:35Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2019 The Author(s)
dc.identifier.doihttps://doi.org/10.1186/s13058-019-1139-7
dc.identifier.cristin1699805
dc.source.journalBreast Cancer Research


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel

Attribution CC BY
Med mindre annet er angitt, så er denne innførselen lisensiert som Attribution CC BY