KẾT QUẢ PHẪU THUẬT UNG THƯ VÚ Ở NGƯỜI BỆNH CAO TUỔI TẠI BỆNH VIỆN K

Abstract

Objective: To investigate certain clinical and paraclinical characteristics and evaluate the surgical outcomes of breast cancer in elderly patients at K Hospital. Subjects and Methods: A descriptive study was conducted on 52 female patients over 70 years old who were diagnosed with breast cancer and underwent surgery at the Department of Surgery B – K Hospital, from January 2019 to December 2019. Results: The average age was 73.29 years, with the youngest being 70 and the oldest 85. The highest incidence was observed in the 70–74 age group (75%). The most common reason for hospital admission was self-detection of a breast lump, accounting for 46 out of 52 cases. The most frequent tumor location was in the upper outer quadrant (42.3%). The primary tumor sizes were classified as T1 (36.5%), T2 (59.6%), and T3 (3.8%). The rate of hormone receptor positivity was 82.7%, while HER-2 positivity was observed in 26.9% of patients. Most patients underwent total mastectomy with axillary lymph node dissection (96.2%). Invasive ductal carcinoma was the most common histological type, accounting for 69.2%. Axillary lymph node metastasis was present in 34.6% of cases. Disease staging showed stage 0 in 3.8%, stage I in 23.1%, stage II in 51.9%, stage III in 19.2%, and stage IV in 1.9%. Postoperative complications were low (11.5%), mainly axillary seroma. Breast cancer-related mortality was lower than mortality due to other causes. The overall 5-year survival rate was 78.8%. Conclusion: Breast cancer in elderly patients is associated with a low rate of postoperative complications. However, the overall survival rate is reduced, primarily due to mortality related to comorbidities or advanced age. Factors such as disease stage and axillary lymph node metastasis significantly influence treatment outcomes.