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Non-Metastatic Breast Cancer : Clinical Presentation and Patterns of Surgical Treatment

Abdulhadi J. Tlefih عبد الجليل طليفح

Al-Kindy College Medical Journal مجلة كلية الطب الكندي
ISSN: 18109543 Year: 2009 Volume: 5 Issue: 1 Pages: 40-46
Publisher: Baghdad University جامعة بغداد

Abstract

Background : Breast cancer is the most common cancer of women. When breast cancer is detected and treated early, the chances for survival are better. Surgery is the most important treatment for non-metastatic breast cancer.Al-Kindy Col Med J 2008 Vol.5(1) 40 Original ArticleObjectives : The aim of this study is to review different clinical presentation and to evaluate types of surgical procedures and complications in treatment of non-metastatic breast cancer.Method : During the period from Jun 1998 to May 2005,93 patients with non-metastatic breast cancer werediagnosed and treated surgically in 2 hospitals in Baghdad (Hammad Shihab military hospital and Al-Kindy teachinghospital).Results : Women constituted ( 98.93% ), while menconstituted (1.07%), with male to female ratio of (0.01:1).The peak incidence of non-metastatic breast cancer (25.8%)was at age group 51-60 years, while (60.2 % ) of caseshappened in women over 50 years of age. The right breastwas the most common side affected, and the upper outerquadrant of the breast was the most common locationaffected by cancer. Painless lump (91.4%) was the mostcommon symptom, and the hard lump was the mostcommon sign (100%).The highest frequency of cases was diagnosed in stage IIfollowed by stage III, and invasive ductal cancer was themost common histopathologic type.(87.1 %) of patients underwent modified radical mastectomy, while (12.9%) underwent breast-conservation surgery. Breast-conservation surgery carried higher incidence of recurrent disease than modified radical mastectomy (33.3% vs.13.6%).Conclusion : The majority of patients with non-metastatic breast cancer were over 50 years of age, and the preponderance were diagnosed in stage II. Modified radical mastectomy may be preferable method for treatment as it carries a lower rate of local or distant recurrence than conventional breast-conservation surgery procedures.Key words: Non-metastatic breast cancer,

Keywords

Non-metastatic breast cancer --- breast-conservation surgery --- modified radical mastectomy --- axillary surgery.