Open AccessOVERVIEW OF PATIENT PREFERENCES IN THE SURGICAL MANAGEMENT PLAN OF EARLY BREAST CANCERS
Author(s) -
Ayesha Khan,
Afroz Mushtaq,
Syeda Rifaat Qamar Naqvi,
Razia Bano,
Fahad Ali Khan,
Rahima Begum,
Said Zaman,
Sana Mushtaq
Publication year - 2021
Publication title -
pakistan armed forces medical journal
Language(s) - English
Resource type - Journals
eISSN - 2411-8842
pISSN - 0030-9648
DOI - 10.51253/pafmj.v6i6.7267
Subject(s) - medicine , mastectomy , breast cancer , general surgery , multidisciplinary approach , stage (stratigraphy) , total mastectomy , multidisciplinary team , breast surgery , cancer , surgery , nursing , paleontology , social science , sociology , biology
Objective: To determine patient preferences in the surgical options of early breast cancers and surgeon’s role in the decisionmaking.
Study Design: cross-sectional study.
Place and Duration of Study: Breast Surgery Department, Combined Military Hospital Rawalpindi Pakistan, from Nov 2020 to May 2021.
Methodology: Patients having early carcinoma breast were studied, i.e., clinical stage 1 or 2, and their surgical preference was recorded. The cases were discussed in multidisciplinary meetings, and a discussion session with patient conducted and then final decision taken from the patient was recorded again, and the results compared.
Results: A total of 28 patients were included in this study and their surgical preferences recorded. Of these patients 22 (78.5%) agreed to breast conservation initially, whereas one of the patients wanted mastectomy. Five (17.8%) patients were undecided between the two. After multidisciplinary team recommendation and discussion with surgeon, only one patient opted for mastectomy (3.6%).
Conclusion: Patients with early breast cancer when offered a surgical decision between breast conservation and mastectomy mostly opt for breast conservation; those who select mastectomy do so because of the fear of recurrence.