caa a22 4500 445335777 CHVBK 20180317142754.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1245/s10434-010-1389-1 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1389-1 Perioperative Complications of Breast Cancer Surgery in Elderly Women (≥80 Years) [Elektronische Daten] [Paraskevi Chatzidaki, Chrysovalantis Mellos, Volker Briese, Ioannis Mylonas] Purpose: There has been much controversy regarding the optimal management of breast cancer in very elderly women. Some clinicians are reluctant to offer surgical treatment for women older than aged 80years because of the assumed higher operative risk associated with advanced age. This study was designed to investigate the perioperative complications of breast cancer surgery in women of this age group. Methods: Data were reviewed of all women ≥80years of age who underwent breast cancer surgery at a university clinic during the period 1990-2005. Symptoms, comorbidities, preoperative risk assessment, type of operation, postoperative histological diagnosis, hospital stay, morbidity, and mortality were documented and analyzed. Results: During this 16-year period, 140 operations for breast cancer were performed in 129 women. The majority of the patients (37.9%) underwent a modified radical mastectomy, 32.1% underwent a simple mastectomy, 24.3% underwent breast-conserving therapy, and 5.7% underwent an axillary lymph node dissection. Complications occurred in 37.1% of the cohort: 31.4% were minor complications and only 5.7% were major. Intraoperative morbidity was 18.6% and postoperative morbidity was 20%. Late complications occurred in 5% of patients. The most common complications were associated with the wound region (50%). The perioperative mortality in this group of elderly women was zero. Conclusions: Breast cancer surgery has acceptable perioperative morbidity and mortality in women aged ≥80years. Surgery is the cornerstone of breast cancer treatment and should be offered as first-line treatment for all patients regardless of their age. Society of Surgical Oncology, 2010 Chatzidaki Paraskevi Department of Obstetrics and Gynecology, University of Rostock, Rostock, Germany aut Mellos Chrysovalantis General Hospital of Corinthos, Corinth, Greece aut Briese Volker Department of Obstetrics and Gynecology, University of Rostock, Rostock, Germany aut Mylonas Ioannis First Department of Obstetrics and Gynecology, Ludwig-Maximilians University Munich, Munich, Germany aut Annals of Surgical Oncology Springer-Verlag 18/4(2011-04-01), 923-931 1068-9265 18:4<923 2011 18 10434 https://doi.org/10.1245/s10434-010-1389-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1389-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chatzidaki Paraskevi Department of Obstetrics and Gynecology, University of Rostock, Rostock, Germany aut NATIONALLICENCE 700 1- Mellos Chrysovalantis General Hospital of Corinthos, Corinth, Greece aut NATIONALLICENCE 700 1- Briese Volker Department of Obstetrics and Gynecology, University of Rostock, Rostock, Germany aut NATIONALLICENCE 700 1- Mylonas Ioannis First Department of Obstetrics and Gynecology, Ludwig-Maximilians University Munich, Munich, Germany aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/4(2011-04-01), 923-931 1068-9265 18:4<923 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer