Radical modified surgery in breast carcinoma. Our experience

Area of Science:

• Oncology
• Surgical Oncology
• Breast Cancer Research

Background:

• Breast carcinoma treatment has evolved, with surgical techniques like Radical and Modified Radical (Merola - Madden) mastectomies being key interventions.
• Understanding the comparative outcomes of different surgical approaches across various stages of breast cancer is crucial for optimizing patient care.

Purpose of the Study:

• To analyze the distribution, treatment, follow-up, and evolution of breast carcinoma in 541 patients.
• To compare the trends and outcomes of Radical versus Modified Radical mastectomy over two distinct periods.
• To evaluate the efficacy and complication rates associated with different surgical procedures for breast cancer.

Main Methods:

• A retrospective analysis of 541 breast carcinoma patients.
• Categorization of patients based on cancer stage, treatment received, and follow-up data.
• Discrimination of surgical procedures (Radical vs. Modified Radical mastectomy) into two distinct time periods.

Main Results:

• A discernible trend towards preference for Modified Radical mastectomy, particularly for early-stage breast cancer.
• Promising survival rates were observed for both surgical procedures when selected according to the stage of the carcinoma.
• Low rates of local complications, recurrences, and metastasis were reported, supporting the evaluated treatment strategies.

Conclusions:

• The Modified Radical mastectomy is increasingly favored for early-stage breast cancer.
• Both surgical approaches demonstrate favorable survival outcomes relative to cancer stage.
• The observed low complication and recurrence rates allow for an optimistic evaluation of current surgical management practices for breast carcinoma.