OUTCOMES OF MODIFIED RADICAL MASTECTOMY MRM VS BREAST CONSERVATION SURGERY BCS.

JPUMHS;2024:14:03,20 25.http://doi.org/10.46536/jpumhs/2024/14.03.530

Abstract

ABSTRACT
BACKGROUND:Breast cancer is the most common malignancy in women and leads to substantial health issues globally.
Historically, Modified Radical Mastectomy MRM total removal of breast and tissue was a standard treatment of choice.
However, advances in surgical techniques as well as oncological care has led way for Breast Conservation Surgery BCS,
where the tumor is removed, while preserving the breast's appearance. While the intent of both approaches is to provide an
adequate oncological control, the perioperative outcomes, complication rates and the resulting patient quality of life have
been a matter of ongoing debate when discussing comparative efficacy and aesthetic outcome.OBJECTIVE: To compare
the outcome of two different surgical methods, Modified Radical Mastectomy MRM and Breast Conservation
Surgery BCS, in treatment of breast cancer.MATERIALS AND METHODS: This comparative observational
study was carried out at General Surgery Department Hayatabad Medical Complex Peshawar during the period
August 2020 to October 2021. A total of 120 female patients suffering from breast cancer were enrolled. A total
of 5747.5% patients underwent MRMGroup A whereas 6352.5% further received BCS for tumor excision while
maintaining breast appearance Group B.RESULTS:Axillary lymph node metastasis was present in 1933.3%
cases in group A and 2234.9% cases in group B. In group A there were 3459.6% cases of TNM stage-1 and
2340.4% cases had stage-II, while in group B stage-I was noted in 4165% cases and stage-II in 2235% cases
respectively. In group A invasive ductal carcinoma was observed in 4273.6% cases, invasive lobular carcinoma
in 1021.3% and other types were 58.8%, while on the other hand in group B these figures were 4673%, 1219%
and 57.9% respectively. There was no significant difference in age, menopause status and other general data,
suggesting that the two groups were comparable P>0.05. CONCLUSION: BCs provides better perioperative
outcomes, lesser postoperative complications and aesthetic superiority than MRM in breast cancer
patients.