EARLY RESULT OF AXILLARY LYMPHO NODES DISSECTION ACCORDING TO SURGICAL LEVEL IN BREAST SURGERY

Trương Quang Huy1, Lê Hồng Quang2, Đoàn Quốc Hưng1,
1 Hanoi Medical University
2 Vietnam National Cancer Hospital

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Abstract

Objectives: Assess early result of axillary lympho node dissection according to surgical level in breast surgery. Subjects and methods: Prospective cross- sectional study of 96 stage I-IIIA breast cancer patient who had been performed mastectomy and axillary lympho node dissection at K Hospital during the period from January 2022 to June 2022. Result: The rate of axillary lympho nodes metastases was 39,6%. The factors associated nodal involvement were tumor size and histological grade with p<0.05. The rate of skip metastases was 5,3% with the only type which is skipping level I to level II. The factors such as size, location and histological grade showed no statistically correlation with metastasis possibility of cancer cells with p<0.05. The complications after modified radical mastectomy were limitation of arm movement, bleeding and seroma at the rate of 10,4%, 2,1%, 3,1% respectively. Conclusion: The factors associated lympho nodes metastases were tumor size and histological grade. The breast cancer often metastasizes sequentially according to surgical level with a low rate of skip metastasis. Axillary lymph node dissection has variable rates of complications depending on the experience of the surgeons.

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References

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