Comparison of Recurrence Rate of Breast Carcinoma between MRM and B. Conservative Surgery in Patients of Breast Cancer
Muhammad Shahid Mehmood, Saeed Mahmood, Muhammad Kareem Ullah, Aftab Ahmad Baig, Sadaf Andleeb, M. Mohsin Gillani
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ABSTRACT
Objective: To compare the recurrence rate of breast
carcinoma between modified radical mastectomy and breast conservative surgery
in patients of breast cancer.
Material and methods: This randomized controlled was
conducted at Department of Surgery, Akhtar
Saeed Medical and Dental College Lahore from September 2020 to
June 2021. Total 70 females with breast
cancer from last 3 years (any stage), age between 30-60 years with ASA grade I,
II and III were selected. In group A MRM was performed while in group B,
conservative surgery was performed. Recurrence
of breast cancer between the both groups was compared.
Results: Mean age of patients was 44.47 ± 9.41 years
with age range 30-60 years. Mean age of
patients of study group A and B was 43.57 ± 9.89 years and 45.37 ± 8.95 years
respectively. In study group A (MRM
group), recurrence of breast cancer was found in 6 (17.14%) patients while in study group B (Conservative surgery
group), recurrence of breast cancer was noted in 15 (42.86%) patients. Difference of recurrence of breast cancer
between the both groups was significant with p value 0.019.
Conclusion: Findings of this study showed higher
frequency of recurrence of breast cancer in cases managed with conservative
surgery as compared to MRM. Most of the
cases belonged to 3rd decade of life. Among non-obese cases, significant difference
of recurrence was seen. Most of the
cancer cases were multiparas but difference of recurrence was not significant. Higher number of married cases were reported
with breast cancer and difference between conservative surgery group and MRM
group was significant.
Keywords:
Breast cancer, recurrence, MRM, conservative surgery
ABSTRACT
Objective: To compare the recurrence rate of breast
carcinoma between modified radical mastectomy and breast conservative surgery
in patients of breast cancer.
Material and methods: This randomized controlled was
conducted at Department of Surgery, Akhtar
Saeed Medical and Dental College Lahore from September 2020 to
June 2021. Total 70 females with breast
cancer from last 3 years (any stage), age between 30-60 years with ASA grade I,
II and III were selected. In group A MRM was performed while in group B,
conservative surgery was performed. Recurrence
of breast cancer between the both groups was compared.
Results: Mean age of patients was 44.47 ± 9.41 years
with age range 30-60 years. Mean age of
patients of study group A and B was 43.57 ± 9.89 years and 45.37 ± 8.95 years
respectively. In study group A (MRM
group), recurrence of breast cancer was found in 6 (17.14%) patients while in study group B (Conservative surgery
group), recurrence of breast cancer was noted in 15 (42.86%) patients. Difference of recurrence of breast cancer
between the both groups was significant with p value 0.019.
Conclusion: Findings of this study showed higher
frequency of recurrence of breast cancer in cases managed with conservative
surgery as compared to MRM. Most of the
cases belonged to 3rd decade of life. Among non-obese cases, significant difference
of recurrence was seen. Most of the
cancer cases were multiparas but difference of recurrence was not significant. Higher number of married cases were reported
with breast cancer and difference between conservative surgery group and MRM
group was significant.
Keywords:
Breast cancer, recurrence, MRM, conservative surgery