Abstract

Naseer Ahmad Awan, Yasir Lone, Mir Mujtaba Ahmad*, Irfan Nazir and Hilal Wani

ABSTRACT

Background: The improvement in the treatment of breast cancer is due to early diagnosis, better understanding of the natural history of this disease and therapeutic improvements over the years. There is a gradual shift away from radical surgery advocated by Halsted to the breast conservative surgery during the last few decades all over the world mainly influenced by the results of several large trials of lesser surgical procedures. The aim of the study is to compare the complications, duration of hospital stay, satisfaction of the patients, recurrence and survival of patients undergoing breast conservative surgery and modified radical mastectomy in early breast cancer. Aim of the study: To compare Breast Conservation Surgery and Modified Radical Mastectomy in terms of Hospital stay, Post operative complications, Quality of Life.Patient satisfaction. Methods: This was an observational study of patients who presented with early breast cancer to the Department of General Surgery, Govt. Medical College Hospital, Srinagar, between November 2014 and October 2016. Inclusion criteria were patients with early breast cancer, clinical stage I and II. All the patients were watched for different variables and were followed up. Results: Majority of patients had ductal carcinoma on histological evaluation. There was shorter hospital stay in BCS as compared to MRM group which was stastiscally significant. Most of our patients were having stage IIa disease. The rate of local recurrence and complications in either group didn’t have any significant difference. However, there was definetly results favouring better patient satisfaction and quality of life in BCS group as compared to MRM group. Conclusion: BCS in eligible patients is as effective as MRM with respect to local tumor control. Duration of hospital stay is less for the breast conservative surgery. There is significantly better mental satisfaction for the patients who underwent conservative surgery.