Breast Conservative Surgery vs. Modified Radical Mastectomy: The Commonest Surgical Practice to Treat Breast Cancer Patients among Surgeons in Kirkuk City

Abstract

Background: Worldwide breast-conserving surgery (BCS) became more common than mastectomy in treating breast cancer patients after the National Institutes of Health Consensus Statement in 1990. Objective: To evaluate the preferred surgical procedures used by surgeons in Kirkuk city. Methods: A total of 104 patients with breast cancer underwent surgery (BCS vs. Mastectomy) collected from Kirkuk General Hospital, Azadi Teaching Hospital and Kirkuk Oncology Center from June 2015 to August 2017. Results: Mean age of patients with breast cancer in this studied were 47.3±9.2 years. Two thirds of patients were premenopausal and a third was postmenopausal. The presenting stage at diagnosis of breast cancer patients was (17.3% stage I, 36.6% stage II, 42.3% stage III, and 3.8% stage IV). Three quarter of patients with breast cancer underwent mastectomy and only one quarter underwent Breast Conservative. Mastectomy rate per staging was: (10.5% stage I, 21% stage II, 36% stage III, and 2.8% stage IV), while BCS rate per staging was: 7.7% stage I, 17.3% stage II, 2.8% stage III, and 1.9% stage IV). Conclusions: Mastectomy is most common surgical procedure in treating breast cancer patients regardless to disease staging among surgeons in Kirkuk city.