KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT UNG THƯ VÚ TẠI BỆNH VIỆN ĐA KHOA TỈNH QUẢNG NINH

Abstract

Objective: To evaluate the results of surgical treatment of the breast cancer at Quang Ninh General Hospital. Methods: A combined retrospective and prospective study on 78 female patients with stage I–III breast cancer treated at the Oncology Department of Quang Ninh General Hospital from January 2017 to December 2022. Results: The mean age was 58.23 ± 11.9. The most common tumor location was the upper outer quadrant (53,6%). 41% of patients had postoperative axillary lymph node metastasis. The average number of lymph nodes dissected was relatively high, at 11.37 ± 4.49, with an average of 1.74 ± 3.78 metastatic nodes. The 5-year overall survival (OS) and disease-free survival (DFS) rates were 74% and 68%, respectively. Axillary lymph node metastasis, tumor size, and disease stage were significantly associated with both OS and DFS. Recurrence occurred in 18 patients, with the most common metastatic sites being the lungs (44.4%) and bones (38.9%). Conclusion: Surgery remains the primary treatment modality for stage I–III breast cancer. Axillary lymph node status, tumor size, and disease stage are important prognostic factors for overall survival and disease-free survival.