General Surgery (East Africa)
The conservation of the breast in a woman after diagnosis of breast cancer plays a vital role in the overall management of the patient. While the cosmetic outcome enhances the patients’ self-image, assurance of clear margins is essential in prognostication. An analysis was carried out to assess the adequacy of surgical margins at our unit.
Methodology: Retrospective analysis of breast surgery for breast cancer patients was done from 2008 to 2011 at Aga Khan University Hospital.
Results: Twenty one patients with breast cancer had breast conservation surgery with an average age of 44.8 years. The commonest histological diagnosis (71.4%) was invasive ductal carcinoma. Negative margins were obtained in 85.7%. Modified radical mastectomy was performed on patients who had residual tumour after re-excision.
Conclusion: Breast conservation surgery can yield acceptable margin status with appropriate clinical and radiological selection of patients with early breast cancer.
Annals of Africa Surgery
(2014). Surgical margin status after breast conservation surgery at Aga Khan University Hospital, Nairobi. Annals of Africa Surgery, 11(1), 4-7.
Available at: http://ecommons.aku.edu/eastafrica_fhs_mc_gen_surg/18