KẾT QUẢ SỚM PHẪU THUẬT UNG THƯ VÚ THEO PHƯƠNG PHÁP PATEY TẠI VIỆN Y HỌC PHÓNG XẠ VÀ U BƯỚU QUÂN ĐỘI

Abstract

Objective: Evaluation of surgical results of breast cancer carcinoma patients treated at the Military Institute of Radiation and Oncology. Subjects and Methods: The average age was 47.3 years old, the highest incidence was in the 41-50 age range (39.5%), the lowest was 27 years old, the highest was 68 years old. Primary tumors T1 55.3%, T2 36.8%, T3 7.9%. The incidence in the right and left breasts was similar (50% and 47.4%), the highest was in the upper outer quadrant (71.1%), the average tumor size was 3.3±1.4 cm. 31.7% in stage I; 28.9% in stage IIA; 28.9% in stage IIB. Mammography had 86.8%; ultrasound had 94.7% of cases with results consistent with histopathology. Invasive ductal carcinoma accounted for 81.6%. The rate of axillary lymph node metastasis was 50%. There is a correlation between the rate of axillary lymph node metastasis and tumor size and histological type. The histological grade is mainly grade II, accounting for 76.3%. 65.8% have positive ER, PR receptors. 31.5% have positive Her 2 neu. Average surgery time is 83±28 minutes. Average postoperative time is 12±3 days. Average drainage removal time is 11±3 days. There are no complications during surgery. The overall complication of surgery is low at 10.6%, mainly fluid accumulation in the armpit area. There are no cases of hand edema complications due to surgery as in some other studies. Surgical results: Good: 89.5%, Average: 10.5% and no cases with poor results. Conclusions: Modified radical mastectomy surgery for operable breast cancer at the Military Institute of Radiation Medicine and Oncology shows good treatment results with few complications.