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Lumpectomy Versus Mastectomy in Breast Cancer: Comparison of Postoperative Consequences and Treatment Progress

Received: 26 January 2021    Accepted: 17 March 2021    Published: 30 March 2021
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Abstract

Background: Lumpectomy and mastectomy remain the main surgical procedure of breast cancer as a part of treatment as well as management. This study was aimed to compare the early post-operative outcomes of lumpectomy (BCS) versus mastectomy (MRM). Methods: It was an observational study conducted at the Department of Surgical Oncology of National Institute of Cancer Research and Hospital (NICRH), Mohakhali, Dhaka, Bangladesh during the period from October 2016 to January 2019. The study sample consisted of 264 cancer patients who admitted in the hospital. The purposive sampling was done following inclusion criteria. Having collection of data, chi-square test was done to see the association of breast cancer among female patients. Results: Out of 264, 200 (75.75%) patients underwent mastectomy (MRM) and remaining percentage of patients underwent lumpectomy. The mean age of the patients was 37.69 (SD±10.31) and 44.82 (SD±7.65) in lumpectomy and mastectomy group respectively. Wound infection was present among 12.5% and 24% lumpectomy and mastectomy patients. Subsequently, seroma was present among 18.75% and 54% patients who underwent lumpectomy (BCS) and mastectomy (MRM) respectively which was statistically significant (P<0.014). Flap necrosis was found only among 16% mastectomy patients (P<0.04). There was significant difference in income and education among lumpectomy and mastectomy patients. However, the mean duration of hospital stay was 6.06±0.85 days and 17.70±4.70 days in lumpectomy (BCS) and mastectomy (MRM) group respectively which was statistically significant (P< 0.05). Conclusion: This study showed that lumpectomy (BCS) had early recovery and better post-operative treatment progress than mastectomy (MRM).

Published in Cancer Research Journal (Volume 9, Issue 1)
DOI 10.11648/j.crj.20210901.20
Page(s) 79-84
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Bangladesh, Flap Necrosis, Lumpectomy, Mastectomy, Seroma

References
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Cite This Article
  • APA Style

    Md. Ashiqur Rahman, Farida Arjuman, Shahida Alam, Mohammad Ibrahim Khalil, Quazi Habibullah, et al. (2021). Lumpectomy Versus Mastectomy in Breast Cancer: Comparison of Postoperative Consequences and Treatment Progress. Cancer Research Journal, 9(1), 79-84. https://doi.org/10.11648/j.crj.20210901.20

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    ACS Style

    Md. Ashiqur Rahman; Farida Arjuman; Shahida Alam; Mohammad Ibrahim Khalil; Quazi Habibullah, et al. Lumpectomy Versus Mastectomy in Breast Cancer: Comparison of Postoperative Consequences and Treatment Progress. Cancer Res. J. 2021, 9(1), 79-84. doi: 10.11648/j.crj.20210901.20

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    AMA Style

    Md. Ashiqur Rahman, Farida Arjuman, Shahida Alam, Mohammad Ibrahim Khalil, Quazi Habibullah, et al. Lumpectomy Versus Mastectomy in Breast Cancer: Comparison of Postoperative Consequences and Treatment Progress. Cancer Res J. 2021;9(1):79-84. doi: 10.11648/j.crj.20210901.20

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  • @article{10.11648/j.crj.20210901.20,
      author = {Md. Ashiqur Rahman and Farida Arjuman and Shahida Alam and Mohammad Ibrahim Khalil and Quazi Habibullah and Khandakar A. B. M. Abdullah Al Hasan and Farhana Afroz and Nazneen Naher Aymon},
      title = {Lumpectomy Versus Mastectomy in Breast Cancer: Comparison of Postoperative Consequences and Treatment Progress},
      journal = {Cancer Research Journal},
      volume = {9},
      number = {1},
      pages = {79-84},
      doi = {10.11648/j.crj.20210901.20},
      url = {https://doi.org/10.11648/j.crj.20210901.20},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20210901.20},
      abstract = {Background: Lumpectomy and mastectomy remain the main surgical procedure of breast cancer as a part of treatment as well as management. This study was aimed to compare the early post-operative outcomes of lumpectomy (BCS) versus mastectomy (MRM). Methods: It was an observational study conducted at the Department of Surgical Oncology of National Institute of Cancer Research and Hospital (NICRH), Mohakhali, Dhaka, Bangladesh during the period from October 2016 to January 2019. The study sample consisted of 264 cancer patients who admitted in the hospital. The purposive sampling was done following inclusion criteria. Having collection of data, chi-square test was done to see the association of breast cancer among female patients. Results: Out of 264, 200 (75.75%) patients underwent mastectomy (MRM) and remaining percentage of patients underwent lumpectomy. The mean age of the patients was 37.69 (SD±10.31) and 44.82 (SD±7.65) in lumpectomy and mastectomy group respectively. Wound infection was present among 12.5% and 24% lumpectomy and mastectomy patients. Subsequently, seroma was present among 18.75% and 54% patients who underwent lumpectomy (BCS) and mastectomy (MRM) respectively which was statistically significant (PConclusion: This study showed that lumpectomy (BCS) had early recovery and better post-operative treatment progress than mastectomy (MRM).},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Lumpectomy Versus Mastectomy in Breast Cancer: Comparison of Postoperative Consequences and Treatment Progress
    AU  - Md. Ashiqur Rahman
    AU  - Farida Arjuman
    AU  - Shahida Alam
    AU  - Mohammad Ibrahim Khalil
    AU  - Quazi Habibullah
    AU  - Khandakar A. B. M. Abdullah Al Hasan
    AU  - Farhana Afroz
    AU  - Nazneen Naher Aymon
    Y1  - 2021/03/30
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    DO  - 10.11648/j.crj.20210901.20
    T2  - Cancer Research Journal
    JF  - Cancer Research Journal
    JO  - Cancer Research Journal
    SP  - 79
    EP  - 84
    PB  - Science Publishing Group
    SN  - 2330-8214
    UR  - https://doi.org/10.11648/j.crj.20210901.20
    AB  - Background: Lumpectomy and mastectomy remain the main surgical procedure of breast cancer as a part of treatment as well as management. This study was aimed to compare the early post-operative outcomes of lumpectomy (BCS) versus mastectomy (MRM). Methods: It was an observational study conducted at the Department of Surgical Oncology of National Institute of Cancer Research and Hospital (NICRH), Mohakhali, Dhaka, Bangladesh during the period from October 2016 to January 2019. The study sample consisted of 264 cancer patients who admitted in the hospital. The purposive sampling was done following inclusion criteria. Having collection of data, chi-square test was done to see the association of breast cancer among female patients. Results: Out of 264, 200 (75.75%) patients underwent mastectomy (MRM) and remaining percentage of patients underwent lumpectomy. The mean age of the patients was 37.69 (SD±10.31) and 44.82 (SD±7.65) in lumpectomy and mastectomy group respectively. Wound infection was present among 12.5% and 24% lumpectomy and mastectomy patients. Subsequently, seroma was present among 18.75% and 54% patients who underwent lumpectomy (BCS) and mastectomy (MRM) respectively which was statistically significant (PConclusion: This study showed that lumpectomy (BCS) had early recovery and better post-operative treatment progress than mastectomy (MRM).
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Department of Surgical Oncology, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh

  • Histopathology, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh

  • Department of Radiation Oncology, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh

  • Department of Surgery, Dhaka Medical College, Dhaka, Bangladesh

  • Surgery, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh

  • Department of Surgical Oncology, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh

  • Department of Biochemistry, Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh

  • Pathology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh

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