RESULTS OF BREAST CONSERVATION SURGERY IN OPERABLE BREAST CANCER- OUR EXPERIENCE

Autor: Gopinathan Sivasankaran, Gautam Gautam, Randeep Randeep, Raghuram Raghuram
Rok vydání: 2017
Předmět:
Zdroj: Journal of Evidence Based Medicine and Healthcare, Vol 4, Iss 86, Pp 5046-5050 (2017)
ISSN: 2349-2570
2349-2562
DOI: 10.18410/jebmh/2017/1008
Popis: BACKGROUND Incidence of breast cancer in urban India is about 34% of all women cancer. BCT (BCS + Whole Breast Radiotherapy) is the standard of care based on various randomised trials conducted in various part of the world for early breast cancer. Overall, survival and local regional recurrence rates of BCT is comparable to that of MRM. The BCS rates are higher (60% - 70%) in west compared to India (11% - 23%). The present study was conducted to analyse the results of breast conservation surgery. MATERIALS AND METHODS This study was conducted at tertiary cancer hospital and comprised of retrospective collection of prospective data of patients, who underwent BCS from August 2014 - September 2017. Patients were diagnosed with breast cancer who underwent metastatic workup and discussed in the tumour board and offered the option of BCT. RESULTS Age range was 24 - 78 years and majority was premenopausal group. Most common tumour location was in the upper outer quadrant and most common histology was infiltrating ductal carcinoma, NOS type (88 out of 100). Majority of the tumours were cT1/T2 category. Local recurrence only developed in two patients (2%) and systemic recurrence only developed in 2% of patients. Five patients (5%) developed both local and systemic recurrence. CONCLUSION Breast conservation therapy should be offered for all early breast cancer provided no contraindications. BCS can be done safely at all tertiary centres and results are comparable with that of western standards.
Databáze: OpenAIRE