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.
Cite this paper
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.
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.
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.
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.
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
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.
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
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
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.