Arquivos de Oncologia Cirúrgica

The intricate journey of managing advanced epithelial ovarian cancer often presents clinicians with a diverse array of decisions, each carrying the potential to impact patient outcomes significantly. One distinctive element in this decision-making process is the consideration of creating intestinal stomas as part of the surgical management. This article takes a comprehensive look at the trends and consequences of intestinal stoma formation in the surgical treatment of women with advanced epithelial ovarian cancer. It not only examines the prevalence of this practice but also uncovers an unexpected link to long-term survival rates. In the landscape of ovarian cancer treatment, the incorporation of intestinal stomas has risen as a crucial component of surgical strategy. Surprisingly, a noteworthy 14.5% of women who underwent surgical intervention for advanced epithelial ovarian cancer opted for an intestinal stoma. This practice, designed to reduce complications and enhance the patients' overall quality of life, has become an essential facet of the multidisciplinary approach employed to combat this challenging disease.

The field of breast cancer treatment is characterized by a continuous stream of innovation, all aimed at improving patient outcomes while simultaneously addressing both the visual and cancer-related aspects of the disease. Within this context, oncoplastic surgery has emerged as a revolutionary approach that harmonizes the principles of oncology with the artistic finesse of plastic surgery. This article takes an in-depth look at the notable strides made by oncoplastic surgery, underscoring its established oncological safety in contrast to traditional breast-conserving procedures. It also highlights its remarkable influence on achieving favorable surgical margins, minimizing the need for additional surgeries and effectively managing intricate cases. At the core of any surgical strategy for breast cancer lies its fundamental commitment to oncological safety.

Breast cancer treatment strategies are continually advancing, pushing the boundaries of traditional practices and redefining the scope of surgical interventions. In the midst of this dynamic evolution, the concept of Enhanced Oncoplastic Breast Surgery (EOBS) has emerged as a groundbreaking approach. EOBS involves a breast-conserving procedure that comes into play when a mastectomy could be deemed necessary. This innovative approach is gaining significant traction as it proves effective in managing intricate breast cancer scenarios that have conventionally posed surgical challenges. EOBS marks a notable departure from established norms by presenting a viable breast-conserving option for situations where mastectomy was previously deemed the standard course of action.

Breast reconstruction following mastectomy holds immense significance in the holistic treatment of breast cancer, aiming not only to restore physical appearance but also to nurture patients' emotional well-being. In this context, the decision-making process between total and partial reconstruction routes carries substantial consequences. This article conducts a comprehensive comparative assessment of patient characteristics and complication rates, elucidating the underlying factors that contribute to these varying outcomes. The selection between total and partial breast reconstruction pathways is intricately intertwined with the unique attributes of each patient. Notably, a distinct dichotomy in patient profiles emerges as a key observation. Those who opt for total reconstruction often present with larger tumor dimensions and higher clinical as well as pathological stage, accentuating the intricacies of their disease trajectory. Conversely, individuals favoring partial reconstruction tend to be of an older age group and possess a higher body mass index, reflecting an alternative set of medical considerations.