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Early Complications Following Modified Radical Mastectomy—Among Breast Cancer Patients Admitted to AL Gomhory Teaching Hospital, Sana’a, Yemen between Jan. 2019-Jan. 2020

DOI: 10.4236/oalib.1106992, PP. 1-11

Subject Areas: Oncology, Surgery & Surgical Specialties

Keywords: Breast Cancer, Modified Radical Mastectomy, Post-Operative Complication, Seroma, Wound Infection

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Abstract

Background: Breast cancer is the most common cancer in women worldwide. Breast cancer represents about 13% of all new cancer cases in both male and female yearly and represents about 22.8% of cancer cases among female patients in Yemen. Objective: To study the early complications following modified radical mastectomy among patients diagnosed with breast cancer and evaluate some risk factors and associated comorbidity. Methods: The present prospective and observational study was conducted in Al-Gomhori teaching hospital that described complications in 50 patients with breast cancer underwent modified radical mastectomy from Jan. 2019 to Jan. 2020. Results: The mean age of cases was (45.6) years with a standard deviation of (12.4) years. Only 2 male patients (4%) were diagnosed with carcinoma breast and 48 female patients (96%) out of 50 total cases. In the 50 cases, in 23 patients (46%) chief complaint was lump in breast, followed by history of pain in lump in 18 cases (36%), then breast mass with axillary swelling in 9 cases (18%). Seroma formation was the most common complication seen in 22 (44%) patients, wound infection in 14 (28%), pain at the surgical site. Seen in 14 (28%) and flap ecchymosis in 2 (4%) cases and flap necrosis in 1 case (2%) and early lymphedema seen in 1 (2%) case. Conclusions: It was concluded that the early complications following of modified radical mastectomy included seroma formation, surgical site infection, pain and paresthesia, skin flap ecchymosis and necrosis, and hematoma.

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Obadiel, Y. A. , Al-Ba’adani, M. N. and Haidar, Q. H. (2020). Early Complications Following Modified Radical Mastectomy—Among Breast Cancer Patients Admitted to AL Gomhory Teaching Hospital, Sana’a, Yemen between Jan. 2019-Jan. 2020. Open Access Library Journal, 7, e6992. doi: http://dx.doi.org/10.4236/oalib.1106992.

References

[1]  What Is Breast Cancer. http://www.cancer.org/cancer/breastcancer/overview
[2]  NCCN Clinical Practice Guidelines in Oncology—Breast.
[3]  Shaikh, F.B., Memon, A.A., Kumar, M. and Soomro, E. (2014) Complications of Modified Radical Mastectomy in Carcinoma Breast Patients. Medical Channel, 20, 43-46.
[4]  Chandrakar, N. and Shinde, R.K. (2019) Study the Early Complications of Modified Radical Mastectomy Performed. International Surgery Journal, 6, 239-243. https://doi.org/10.18203/2349-2902.isj20185480
[5]  Gonzalez, E.A., et al. (2003) Seroma Formation Following Breast Cancer Surgery. The Breast Journal, 9, 385-388. https://doi.org/10.1046/j.1524-4741.2003.09504.x
[6]  Shaikh, K., Shabbir, M.N., Ahmed, I., Soomro, S. and Najam, M.S. (2013) Frequency of Early Complications after Modified Radical Mastectomy in Breast Cancer in Tertiary Care Centre. Pakistan Journal of Surgery, 29, 17-22.
[7]  Chintamani, Singhal, V., Singh, J., Bansal, A. and Saxena, S. (2005) Half versus Full Vacuum Suction Drainage after Modified Radical Mastectomy for Breast Cancer: A Prospective Randomized Clinical Trial. BMC Cancer, 5, Article No. 11. https://doi.org/10.1186/1471-2407-5-11
[8]  Vitug, A. and Newman, L. (2007) Complications in Breast Surgery. Surgical Clinics of North America, 87, 431-451.https://doi.org/10.1016/j.suc.2007.01.005
[9]  Alturky, B., et al. (2019) Mastectomy for Women with Breast Cancer, Types and Considerations. EC Microbiology, 15, 1-10.
[10]  Larson, D.L., Basir, Z. and Bruce, T. (2011) Is Oncologic Safety Compatible with a Predictably Viable Mastectomy Skin Flap. Plastic and Reconstructive Surgery, 127, 27-33. https://doi.org/10.1097/PRS.0b013e3181f9589a
[11]  Gonzalez, E.A., Saltzstein, E.C., Riedner, C.S. and Nelson, B.K. (2003) Seroma Formation Following Breast Cancer Surgery. Breast Journal, 9, 385-388. https://doi.org/10.1046/j.1524-4741.2003.09504.x
[12]  Bhatty, I., Shaharyar, I.M. and Chaudhry, M.L. (2004) Complications after Modified Radical Mastectomy in Early Breast Cancer. Pakistan Journal of Medical Sciences, 20, 125-130.
[13]  Shah, S.H., Awais, S. and Rasool, I. (2004) Modified Radical Mastectomy. The Professional Medical Journal, 11, 442-445.
[14]  Sorensen, L.T., Horby, J., Friis, E., et al. (2002) Smoking as a Risk Factor for Wound Healing and Infection in Breast Cancer Surgery. European Journal of Surgical Oncology, 28, 815-820.https://doi.org/10.1053/ejso.2002.1308
[15]  Tran, C.L., Langer, S., Broderick-Villa, G., et al. (2003) Does Reoperation Predispose to Postoperative Wound Infection in Women Undergoing Operation for Breast Cancer? The American Surgeon, 69, 852-856.
[16]  Soomro, S.A., Hussain, N., Shaikh, B.A. and Maher, M. (2006) Predicting Factors of Seroma Formation after Breast Cancer Surgery. Pakistan Journal of Surgery, 22, 2014.
[17]  Gupta, R., Sinnett, D., Carpenter, R., et al. (2000) Antibiotic Prophylaxis for Post-Operative Wound Infection in Clean Elective Breast Surgery. European Journal of Surgical Oncology, 26, 363-366. https://doi.org/10.1053/ejso.1999.0899
[18]  Tasmuth, T., Von Smitten, K. and Kalso, E. (1996) Pain and Other Symptoms during the First Year after Radical and Conservative Surgery for Breast Cancer. British Journal of Cancer, 74, 2024-2031. https://doi.org/10.1038/bjc.1996.671
[19]  Johnsson, K., Ohlsson, K., Ingvar, G., Albertsson, M. and Ekdahl, C. (2002) Factors Associated with the Development of Arm Lymphedema Following Breast Cancer Treatment: A Match Pair Case Control Study. Lymphology, 35, 59-71.
[20]  Bhatty, I., Ibrahim, M. and Chaudhry, M.L. (2004) Complications after Modified Radical Mastectomy in Early Breast Cancer. Pakistan Journal of Medical Sciences, 20, 125-130.
[21]  Pogson, C.J., Adwani, A. and Ebbs, S.R. (2003) Seroma Following Breast Cancer Surgery. European Journal of Surgical Oncology, 29, 711-717. https://doi.org/10.1016/S0748-7983(03)00096-9
[22]  Bokhari, I., Mehmood, Z., Nazeer, M. and Khan, A. (2010) Mastectomy with Axillary Clearance in Carcinoma Breast. Journal of Surgery Pakistan (International), 15, 182-185.

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