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Breast Conserving Surgery: An Overview at a Tertiary Cancer Centre.

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Summary

Breast-conserving surgery (BCS) is a feasible and effective treatment for early breast cancer in Nepal, offering good oncological outcomes. This approach leads to shorter hospital stays and fewer complications compared to mastectomy.

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Area of Science:

Oncology
Surgical Oncology
Public Health

Background:

Breast-conserving surgery (BCS) with radiation is the standard for early breast cancer, offering comparable survival to mastectomy with better cosmetic results.
BCS is underutilized in Nepal, with limited data on its outcomes in the Nepali population.
Assessing oncological outcomes of BCS in Nepal is crucial for improving breast cancer care.

Purpose of the Study:

To evaluate the oncological outcomes of breast-conserving surgery (BCS) for early breast cancer.
To determine the feasibility and safety of BCS in the context of a tertiary cancer center in Nepal.
To provide evidence for the wider adoption of BCS in Nepal.

Main Methods:

A retrospective cohort study was conducted at Bhaktapur Cancer Hospital, Nepal (2012-2018).
Included 100 early breast cancer patients who underwent BCS, with follow-up for at least 5 years.
Data analyzed using SPSS, with survival rates calculated.

Main Results:

The study included 100 patients (median age 43 years; mean tumor size 26.34 mm).
Mean hospital stay was 3.9 days, with 94% experiencing no complications.
Five-year disease-free survival was 96%, and overall survival was 97%.

Conclusions:

Breast-conserving surgery (BCS) demonstrates excellent oncological outcomes in Nepal.
BCS is associated with shorter hospital stays and minimal complications.
BCS is a simple, feasible, and effective treatment option for early breast cancer in Nepal.