A study of different treatment modalities for carcinoma of breast at tertiary health care center
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 1
Abstract
Introduction: The World Cancer Report issued by the International Agency for Research on Cancer (IARC), tells us that cancer rates are set to increase at an alarming rate globally. Aims and Objectives: To Study Different Treatment Modalities for Carcinoma of Breast at tertiary health care center. Material and Methods: After approval from Institutional ethical committee a cross-sectional study carried out in all Cases of Carcinoma of Breast that has undergone treatment from April 2012 to April 2014 at Department of General Surgery of CPR hospital attached to RCSM Government Medical College Kolhapur. All the patients were treated as per the protocol by Surgically, Radiology and Chemotherapy and Neo-adjuvant therapy as per necessary in one-year duration such a way 50 patients were selected. Result: 38 patients (76%) of the total 50 patients underwent modified radical mastectomy (MRM). Simple mastectomy (SM) was done in 4 patients (8%) post-operative complication was lymphedema in 10 patients (23.8%) out of 38 patients. post-operative complications were Flap necrosis 2(4.76%) and wound infection 1 patients (1.19%) out of 38 patients. In treatment of stage IV disease NACT+MRM+ post-operative adjuvant therapy required in 8 % and Adjuvant therapy only required in 67% and Simple Mastectomy and Post-operative adjuvant therapy required in 25 % individuals. Out of the total 50 patients neo-adjuvant CT(NACT) was given in 6 patients (12%), post-operative / adjuvant therapy 3 i.e. 6% patients. CT was given as CT only 20%, T+RT-30% CT+HT-16% CT+RT+HT-16 %. Of the total 47 patients of chemotherapy, CT was delayed in 10 patients (21%). CT was not stopped in any patients.46 patients (92%) remained disease free, two patients with previously diagnosed stage III disease developed metastasis to bone. One patients with stage IIIB disease developed local chest wall recurrence. One patients in stage IV died after 10 months of diagnosis. Conclusion: It can be concluded from our study that; mortality of the patients after adequate treatment in our study was found very less i.e. 2% so proper and adequate treatment of the patients as per the standard protocol should be given for increasing survival of the breast cancer patient.
Authors and Affiliations
Koustubh Mench, T Phira
Keywords
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