scholarly journals Diagnosis and treatment of chylous leakage after modified radical mastectomy for breast cancer: a case report

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110213
Author(s):  
Yingcheng Bai ◽  
Xuemei Tao ◽  
Chunhong Xu ◽  
Yanpeng Zhu
Keyword(s):  
Breast Cancer ◽  
Chest Wall ◽  
Ductal Carcinoma ◽  
Rare Complication ◽  
Radical Mastectomy ◽  
Left Breast ◽  
Modified Radical Mastectomy ◽  
Breast Invasive Ductal Carcinoma ◽  
Chylous Leakage ◽  
Meglumine Diatrizoate

The post-operative complication of chylous leakage after breast cancer is relatively rare, and few clinical studies have been published. We report a 64-year-old woman with chylous leakage following modified radical mastectomy. We describe the patient’s diagnostic and treatment process in detail. The patient was diagnosed with grade II (left) breast invasive ductal carcinoma. Post-operatively, the patient's chest wall and axilla were pressurized, and negative pressure drainage was initiated. On the fifth post-operative day, the drainage from the chest wall and axilla increased significantly, and the patient developed chylous leakage on the eighth postoperative day. We injected meglumine diatrizoate (100 mL) and elemene (10 mL) into the patient's axilla, and the chylous leakage gradually resolved 18 days post-operatively. In this report, we focus on managing a case of chylous leakage after modified radical mastectomy for breast cancer. Meglumine diatrizoate combined with elemene is a possible treatment for the management of this rare complication.

Study of breast cancer surgeries at a tertiary hospital

2021 ◽  
Vol 18 (3) ◽  
pp. 93-97
Author(s):  
Pandit Shamarao Powar ◽  
Keyword(s):  
Breast Cancer ◽  
Rural Areas ◽  
Ductal Carcinoma ◽  
Hormone Replacement ◽  
Positive Family History ◽  
Breast Conservation ◽  
Radical Mastectomy ◽  
Tertiary Hospital ◽  
Breast Conservation Surgery ◽  
Modified Radical Mastectomy

Background: Breast cancer is commonly treated by various combinations of surgery, chemotherapy, radiation therapy, hormone therapy and targeted therapy via a multimodality approach. Surgery is the mainstay of treatment of the early stages of breast cancer, and it ranges from lumpectomy to modified radical mastectomy. Surgery typically includes sentinel lymph nodes (LN) dissection for staging the extent of spread into the axilla. In present study we aimed to study surgeries done in patients with breast cancer at our tertiary hospital. Material and Methods: Present study was a prospective, observational study conducted in patients who underwent surgery for breast cancer, followed by histopathological report positive for breast malignancy. Results: Total 86 biopsy proven breast cancer patients underwent surgery during study period. All patients were females, with mean age 47.4 ± 10.7 years, from rural areas (74%), 9% had positive family history, 13% received Hormone Replacement Therapy/Oral Contraceptive Pills (for more than 5 years), 5% were smokers, 64% were premenopausal and 7% had history of breast biopsy. Modified radical mastectomy with axillary node dissection (69%) was most common surgery performed followed by breast conservation surgery (26%). Most patients were from stage II (64%) followed by stage I (15%). Infiltrating ductal carcinoma was most common histopathological variant (81%). Histopathologically most cancers were grade II (52%). Lymph nodal involvement (48%) and positive surgical margins (7%) were noted. Conclusion: Surgery is mainstay in treatment of breast cancer With introduction of BCS cosmetic and other concerns are tackled effectively.

scholarly journals Integrated IMRT vs segmented 3D-CRT of the chest wall and supraclavicular region for Breast Cancer after modified Radical Mastectomy: An 8-year follow-up

2021 ◽  
Vol 12 (5) ◽  
pp. 1548-1554
Author(s):  
Yutian Zhao ◽  
Jiahao Zhu ◽  
Xiaojun Zhang ◽  
Gang Wu ◽  
Yu Xu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Chest Wall ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
3D Crt

scholarly journals Chylous Leakage Post-mastectomy and Axillary Dissection

2021 ◽  
Vol 18 (2) ◽  
pp. 123-125
Author(s):  
Matheka Mwongeli ◽  
Ronald Wasike
Keyword(s):  
Conservative Management ◽  
Axillary Dissection ◽  
Rare Complication ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
Chylous Leakage

Chylous leakage is a rare complication following mastectomy and axillary dissection. We report a case of a 46-year-old female who underwent modified radical mastectomy and developed chylous leakage. She was treated successfully with conservative management. Keywords: Chylous leakage, chyle, mastectomy, axillary dissection

scholarly journals Rare Metastases in Colorectum of Infiltrating Ductal Breast Cancer: A Rare Case Report and Review

2020 ◽  
Author(s):  
Zhijun Zhang ◽  
Tao Li ◽  
Yuemin Li ◽  
Dongxu Li ◽  
Kai Zhang
Keyword(s):  
Breast Cancer ◽  
Cancer Metastasis ◽  
Ductal Carcinoma ◽  
Therapeutic Option ◽  
Radical Mastectomy ◽  
Left Breast ◽  
Breast Cancer Metastasis ◽  
Positron Emission ◽  
Rare Case Report ◽  
Lost To Follow Up

Abstract Background: Breast ductal carcinoma hardly metastasizes to colorectum and the effect of surgery is controversial. We treated one case of patients with breast ductal carcinoma metastasizes to colorectum with surgery and discussed current management experience of breast cancer metastasizing to colorectum by reviewing the literature. Case Presentation: A 37-year-old woman underwent a modified radical mastectomy three years ago for right breast cancer and developed left breast cancer with right breast cancer suspiciously metastasizing to colorectum, left ovary along with oviduct, pancreas, and left acetabulum according to positron emission tomography-computed tomography. Then she had chosen to give up further therapy but was admitted to our department complaining of shapeless feces and mucus pus and blood in stool for 2 years with the process of aggravating symptoms for recent 2 months. Colonoscopy revealed the existence of colorectal carcinoma. She received laparoscopic combined abdominal perineal resection and bilateral ovarian salpingectomy. Postoperative pathology as well as immunohistochemistry supported the origin of primary breast infiltrating ductal cancer. She remained tamoxifen therapy and was alive until she was lost to follow-up.Conclusions: Clinicians must pay attention to any gastro-intestinal symptoms of patients with a medical history of breast cancer since the incipient symptoms of breast cancer metastasis to colorectum are insidious. Definite diagnosis may be difficult even by endoscopy. Surgery should be considered as a therapeutic option and definite diagnostic means combined with immunohistochemistry.

scholarly journals The Efficacy of Physical Therapy Rehabilitation Program for Women Following a Modified Radical Mastectomy: A Case Report

2021 ◽  
pp. 58-65
Author(s):  
Vibhuti Gaur ◽  
Shruti Deshpande ◽  
Tasneem Burhani
Keyword(s):  
Lymph Node ◽  
Physical Therapy ◽  
Ductal Carcinoma ◽  
Radical Mastectomy ◽  
Left Breast ◽  
Modified Radical Mastectomy ◽  
Shoulder Stiffness ◽  
Outer Quadrant ◽  
Breathing Exercises ◽  
Infiltrating Ductal Carcinoma

Background: The most commonly identified cancer is breast cancer. In either the lobules or the breast ducts, the cancer normally grows. Infiltrating ductal carcinoma is the most common subtype. It may appear as a lump or mass; changes in the skin or nipple; breast rash or redness; or lymphadenopathy. Presenting Complains and Investigations: the patient presented with the complains of  swelling and pain in the left breast in lower outer quadrant since 6 months, which was initially small in size and gradually increased and reached up this level 2x2 cm which placed in infra areolar region covering lower inner and outer quadrant. USG and cytology reports showed bilateral breast with axilla. Right breast was normal, enlarged lymph node in the right axilla measuring 15.2 x 4.6 mm with maintained hilum S/O reactive lymphadenopathy. In left breast there is E/O ill-defined taller than wider irregular hypoechoic lesion with spiculated margins, measuring approximately 15.9 x 12.4 mm in lower inner quadrant containing multiple foci of calcification within showing central vascularity OB doppler on elastography lesion is stiff, in left axilla there is E/O on enlarged USG lymph node present measuring 10.2 x 6.7 mm with maintained hilum S/O reactive lymphadenopathy. Impression of F/S/O malignant lesion in the left breast lymphadenopathy. Diagnosis: Left sided infiltrating ductal carcinoma. Therapeutic Intervention and Outcomes: Physical therapy intervention involved a variety of range of motion exercises, strengthening exercises, resistance conditioning, breathing exercises, lymphoedema treatment and scar management. This intensive outpatient program is a successful way to enhance the mobility of the shoulder and ROM during the initial 6-week treatment cycle after surgery. Shoulder range of motion was increased, patient was able to do basic activities of daily living like dressing, bathing, combing, etc. Edema was reduced. Conclusion: Shoulder stiffness after modified radical mastectomy is the commonest complication. Upper limb mobility exercises reduced the shoulder stiffness. Breathing exercises improved the respiration. Strengthening and general aerobic exercises helped the patient to get back on her normal routine.

CASE REPORT OF RARE PRESENTATION OF DOUBLE AXILLARY VEIN IN MODIFIED RADICAL MASTECTOMY

2021 ◽  
pp. 38-38
Author(s):  
Imran Thariq Ajmal ◽  
Aravind Kumar. KR ◽  
Pragadeshwaran. C
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Ductal Carcinoma ◽  
Radical Mastectomy ◽  
Axillary Lymph ◽  
Axillary Vein ◽  
Modified Radical Mastectomy ◽  
Rare Presentation ◽  
Outer Quadrant ◽  
Lymph Node Enlargement

62yr old female, known diabetic and hypertension, Post CABG presented with hard, mobile, swelling of size 2×3 cm in upper outer quadrant with Right axillary lymph node enlargement size 1×1 cm diagnosed as Right breast cancer with lymph node enlargement. FNAC of Swelling over right breast shows smear positive for malignancy, Ductal carcinoma of Right breast

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