Breast conservation Surgery for Carcinoma Breast

A prospective study consisting of 15 patients with proven carcinoma of breast was carried out on the surgical floor of Sir Ganga Ram Hospital , Lahore from December 2001 to May 2003. All the patients included in the study had either carcinoma in situ, or on clinical examination had T1N0M0, T1N1M0 or T2N0M0 tumour. Operative procedures performed were lumpectomy/segmentectomy followed by local radiotherapy in 5 patients (33.3%) and segmental mastectomy followed by axillary dissection and local radiotherapy in 10 cases (66.6%). Seven cases (46.6%) received post operative chemotherapy. Most of these cases were followed up. Tumour recurrence was noted down in one case (6.66%). Other complications included local wound infection in one case (6.66%) and mild lymphoedema of upper limbs in one case (6.66%). Patient with local recurrence was treated by re-excision. The results of this study support the data that conservation surgery of breast followed by radiotherapy resulted in rates of disease free and of overall survival that were not significantly different from rates observed after total mastectomy.