KẾT QUẢ PHẪU THUẬT CẮT TUYẾN VÚ TRIỆT CĂN CẢI BIÊN ĐIỀU TRỊ UNG THƯ VÚ TẠI BỆNH VIỆN QUÂN Y 103

Abstract

A descriptive, prospective study aimed at commenting on some clinical and paraclinical characteristics and evaluating initial results of modified radical mastectomy for breast cancer treatment at Military Hospital 103, period from January 2020 to June 2023. Results: mean of age was 53.4±1.7 (26-84), 41.0% of patients still had menstruation, 59.0% were postmenopausal. In most cases, the tumor was detected by the patient examination breast themselves (accounting for 96.7%), the most common location of the mass at the upper-outer quadrant (accounting for 59.0%). The mamary lessions sight on ultrasound classified mainly Birads grades IV and V (rates 72.1 and 19.7%). Invasive carcinoma was the histological type with the majority rate (90.6%), the luminal B subtype had the highest rate (58.3%). Modified radical mastectomy was safe, with positive medium-term results: surgery time was 101.6 ± 4.7 minutes, the lenght of postoperative hospital stay was 8.21 ± 0.49 days; Average number of lymph nodes removed was 8.9 ± 0.6; The rate of complications was 8.1%; Stability rates at 1, 2 and 3 years after treatment were 100.0%, 94.4% and 81.8%, respectively. Conclusion: Breast self-examination and breast ultrasound play an important role in detecting mammary tumors and breast cancer. Modified radical mastectomy for breast cancer treatment was safe, with positive mid-term results: the low of complication rate (8.1%), the hight of stability rate after surgery (1, 2 and 3 years were 100.0.%, 94.4% and 81.8%, respectively).