Complications of mastectomy for breast cancer in a tertiary care centre in South-west Nigeria
Background: An important aspect of the surgical management of breast cancer is loco-regional control which can be accomplished by either breast conservation surgery or mastectomy. Objective: To examine the outcome of the operation of mastectomy with respect to the complications of the procedure....
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Medical and Dental Consultants Association of Nigeria, OOUTH Sagamu
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doaj-8e78ae7074f84870be04333b8db7990d2020-11-25T02:54:23ZengMedical and Dental Consultants Association of Nigeria, OOUTH Sagamu Annals of Health Research2476-86422536-61492020-03-0161108113https://doi.org/10.30442/ahr.0601-12-72Complications of mastectomy for breast cancer in a tertiary care centre in South-west Nigeria BA Ayoade0BA SalamiE OpadeyiAO AdekoyaOM FatungaseDepartment of Surgery, Olabisi Onabanjo University, Sagamu, NigeriaBackground: An important aspect of the surgical management of breast cancer is loco-regional control which can be accomplished by either breast conservation surgery or mastectomy. Objective: To examine the outcome of the operation of mastectomy with respect to the complications of the procedure. Methods: This is a retrospective study of all the patients who had a mastectomy for breast cancer in a Nigerian tertiary care centre from 1st January 2012 to March 2019. The hospital records of the patients were retrieved. Demographic and relevant clinical characteristics of the patients were extracted. Results: A total of 77 cases were eligible, 76 women and one man. The age range was 28-76 years. Right mastectomy was performed in 54.5% cases. Preoperative comorbiditiesincludedobesity(34%), hypertension (31.2%), anaemia (6.5%) and Diabetes mellitus (7.8%). Modified radical mastectomy was done in 51.9% cases, simple mastectomy in 36.4%, “Toilet Mastectomy”in 9.1%, and mastectomy after breast conservation treatment in 2%. Twenty-eight percent of the cases required a blood transfusion, 31.2% received neoadjuvant chemotherapy while 58.2% had adjuvant therapy. The complications observed included: haemorrhage (7.8%), seroma (9.1%), flap necrosis (9.1%) andtumourrecurrence (7.8%). As at the time of the report, 41.6 % were alive, 19.4% were dead and 39.0% were lost to follow-up. Conclusion:The complications of mastectomy were mostly haemorrhage, seroma,and flap necrosis, similar to previous reports from other parts of the world.https://www.annalsofhealthresearch.com/index.php/ahr/article/view/240breast cancerchemotherapyhaemorrhagemastectomypost-operative complications |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
BA Ayoade BA Salami E Opadeyi AO Adekoya OM Fatungase |
spellingShingle |
BA Ayoade BA Salami E Opadeyi AO Adekoya OM Fatungase Complications of mastectomy for breast cancer in a tertiary care centre in South-west Nigeria Annals of Health Research breast cancer chemotherapy haemorrhage mastectomy post-operative complications |
author_facet |
BA Ayoade BA Salami E Opadeyi AO Adekoya OM Fatungase |
author_sort |
BA Ayoade |
title |
Complications of mastectomy for breast cancer in a tertiary care centre in South-west Nigeria |
title_short |
Complications of mastectomy for breast cancer in a tertiary care centre in South-west Nigeria |
title_full |
Complications of mastectomy for breast cancer in a tertiary care centre in South-west Nigeria |
title_fullStr |
Complications of mastectomy for breast cancer in a tertiary care centre in South-west Nigeria |
title_full_unstemmed |
Complications of mastectomy for breast cancer in a tertiary care centre in South-west Nigeria |
title_sort |
complications of mastectomy for breast cancer in a tertiary care centre in south-west nigeria |
publisher |
Medical and Dental Consultants Association of Nigeria, OOUTH Sagamu |
series |
Annals of Health Research |
issn |
2476-8642 2536-6149 |
publishDate |
2020-03-01 |
description |
Background: An important aspect of the surgical management of breast cancer is loco-regional control which can be accomplished by either breast conservation surgery or mastectomy.
Objective: To examine the outcome of the operation of mastectomy with respect to the complications of the procedure.
Methods: This is a retrospective study of all the patients who had a mastectomy for breast cancer in a Nigerian tertiary care centre from 1st January 2012 to March 2019. The hospital records of the patients were retrieved. Demographic and relevant clinical characteristics of the patients were extracted.
Results: A total of 77 cases were eligible, 76 women and one man. The age range was 28-76 years. Right mastectomy was performed in 54.5% cases. Preoperative comorbiditiesincludedobesity(34%), hypertension (31.2%), anaemia (6.5%) and Diabetes mellitus (7.8%). Modified radical mastectomy was done in 51.9% cases, simple mastectomy in 36.4%, “Toilet Mastectomy”in 9.1%, and mastectomy after breast conservation treatment in 2%. Twenty-eight percent of the cases required a blood transfusion, 31.2% received neoadjuvant chemotherapy while 58.2% had adjuvant therapy. The complications observed included: haemorrhage (7.8%), seroma (9.1%), flap necrosis (9.1%) andtumourrecurrence (7.8%). As at the time of the report, 41.6 % were alive, 19.4% were dead and 39.0% were lost to follow-up.
Conclusion:The complications of mastectomy were mostly haemorrhage, seroma,and flap necrosis, similar to previous reports from other parts of the world. |
topic |
breast cancer chemotherapy haemorrhage mastectomy post-operative complications |
url |
https://www.annalsofhealthresearch.com/index.php/ahr/article/view/240 |
work_keys_str_mv |
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