English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Breast cancer is second cancer in the world and in women, it estimated with 1.67 million new cases of breast cancer in 2012 (25% of total cancer). Breast cancer is often found in the developing and underdeveloped country. Breast cancer was found a little more in the underdeveloped regions as many as 883 000 cases and 794 000 cases in the developing region. Incidence rates varied across the world with 27 per 100,000 in Central Africa and East Asia, it up to 96 per 100,000 in Western Europe.1 Breast cancer is cancer that most often occurs in Indonesian women. The incidence of breast cancer in Indonesia in 2012 amounted to 48 998 persons (30.5%) of the total 160 833 people affected by cancer. The mortality rate was 19750 people or 21.5% of total mortality caused by cancer (92821 people). The prevalence of breast cancer in Indonesia for 5 years is 171 005 (41.7%).1 Division of Surgical Oncology at the H. Adam Malik Hospital recorded that the number of cases of breast malignancy in the period of 2009-2011 was as many as 1427 cases. Surgery is the primary modality for the treatment of breast cancer. This modality provides a locoregional control which can be proved by histopathological examination and from the surgery specimen can be determined type and grading of the tumor, axillary lymph node status, predictive and prognostic factors of the tumor (all of the above factors cannot be obtained from the other modalities). Various types of surgery for breast cancer such as Classic Radical Mastectomy (CRM), Modified Radical Mastectomy (MRM), Skin Sparing Mastectomy (SSM), Nipple Sparing Mastectomy (NSP) and Breast conserving treatment (BCT). MRM is surgical removal of the entire breast tissue along with the tumor, nipple areola complex, the skin over the tumor, the pectoral fascia and level I-II axillary dissection. This operation is carried out at an early stage of breast cancer and locally advanced.2 Seroma is the most often postoperative mastectomy complications in breast cancer with an incidence varies 15-81%. The research result in Iran showed an incidence of 35%, whereas in Poland based on Stanczyk report’s that the formation of seroma occurs up to 50% after a mastectomy. Based on a meta-analysis conducted by Kuroi, that many of factors can influence the incidence of postoperative seroma in breast cancer patient.3 Chintanami describes there were no contributions to Body Mass ABSTRACT

bali medical journal

Comparison of total seromas between Modified Radical Mastectomy (MRM) with and without skin flap fixation at Dr H. Adam Malik Hospital, Medan Indonesia