Cost analysis of breast conservation surgery compared with modified radical mastectomy with and without reconstruction

2000 ◽  
Vol 179 (6) ◽  
pp. 441-445 ◽  
Author(s):  
Tapash K Palit ◽  
Darlene M Miltenburg ◽  
F.Charles Brunicardi
Keyword(s):  
Cost Analysis ◽  
Breast Conservation ◽  
Radical Mastectomy ◽  
Breast Conservation Surgery ◽  
Modified Radical Mastectomy ◽  
Conservation Surgery

Breast Conservation Surgery versus Modified Radical Mastectomy in the Management of Non Metastatic Inflammatory Breast Cancer

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Elsayed Elshinawi ◽  
Ahmed Gamal Eldin Osman ◽  
Karim Fahmy Abdelmoaty ◽  
Waleed Abdelsalam Abdelatty Anber
Keyword(s):  
Breast Cancer ◽  
Inflammatory Breast Cancer ◽  
Breast Conservation ◽  
Radical Mastectomy ◽  
Conservative Surgery ◽  
Breast Conservation Surgery ◽  
Partial Mastectomy ◽  
Cochrane Central Register ◽  
Modified Radical Mastectomy ◽  
Conservation Surgery

Abstract Background Inflammatory breast cancer (IBC), the most lethal form of breast cancer, constitutes 1–2% of all breast cancers in the United States. Multimodality therapy is the standard in management of non metastatic inflammatory breast cancer patients including neoadjuvant chemotherapy and endocrine therapy and mastectomy followed by post mastectomy radiation. A modified radical mastectomy has been the standard surgical procedure of choice. The objective of this systematic review and metanalysis is to estimate the pooled benefits and adverse effects of performing modified radical mastectomy versus breast conservation surgery in the management of non metastatic IBC. Objective To evaluate, review and analyze the outcome of non metastatic IBC patients treated with mastectomy or breast conservation surgery as an integral part of the multimodality treatment of the disease. To highlight the evidence and quality of the included studies. To share in modifying the current guidelines. Methods An electronic search was conducted from the inception till Jan 2020 in the following bibliographic databases: Medline via PubMed, SCOPUS, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, and Google Scholar to identify relevant articles. We used different combinations of the following queries: ("Inflammatory Breast cancer" OR "breast cancer") AND ("Conservative Treatment" [Mesh] OR "conservative surgery" OR "breast conservative surgery" OR "partial mastectomy"). The search have been done with no limit regarding the year publication. Results After reviewing five studies we found that our results favors the use of modified radical mastectomy over breast conservation surgery in terms of the overall survival and breast cancer specific free survival, however, partial mastectomy could be an effective and safe option in selected group of patients with non metastatic IBC based on the response to NAC an patient’s preference. Conclusions Breast surgery is of great significance to the clinical outcomes of IBC. Standard mastectomy shouldn’t be the only recommended surgical treatment. Individualized surgical procedures can be safely performed in non-metastatic IBC patients based on the response of NAC and patient’s preference.

scholarly journals IMPACT OF BREAST CONSERVATION SURGERY VERSUS THE MODIFIED RADICAL MASTECTOMY ON THE QUALITY OF LIFE AMONG BREAST CANCER SURVIVORS IN PAKISTAN

2020 ◽  
Vol 70 (6) ◽  
pp. 1815-19
Author(s):  
Mumtaz Ahmed ◽  
Namrah Mahmood ◽  
Shaista Zaffar ◽  
Umbar Rafique ◽  
Moiz Ahmed ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Breast Conservation ◽  
Radical Mastectomy ◽  
Well Being ◽  
Breast Conservation Surgery ◽  
Control Group ◽  
Spiritual Wellbeing ◽  
Modified Radical Mastectomy ◽  
Conservation Surgery

Objectives: To assess the quality of life (QoL) of patients receiving Breast conservation surgery as compared to the Modified Radical Mastectomy. Study Design: A case control study. Duration of Study: The study took place from August 2018 to September 30th 2019. Methodology: A prospective study using non probability sampling technique was conducted at Pakistan Institute of Medical Sciences. Quality of life was assessed using a QOL-CSV to evaluate the physical, psychological, social, spiritual well-being as well as distress and fear factors. Data was analyzed using SPSS software 20 and chi square test was applied. Results: Out of a total of 50 cases of BCS and 166 cases of modified radical mastectomy, mean age in breast conservation surgery group was 50.14± 4.8 and in the control group 54.7± 6.3. In case-group there were moderate score in physical, social, and psychological well-being as well as in fear factor and distress of diagnosis. No comparable difference was observed between case and control group with respect to physical, psychological, or spiritual wellbeing, distress score and fear factor. However significant difference was found in the quality of life regarding social concerns. Conclusion: Breast conservation surgery was associated with significant improvements in quality of life scores in terms of social and psychological well-being, with comparable physical and spiritual wellbeing in study population.

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