Abstract

Surgery is the mainstay of the treatment of breast swellings. Clinical examination and the diagnostic modalities are being used to identify the type of lesion and plan their surgical management. Here we are discussing our experience of management plans according to guidelines and application of new techniques. An audit of the 100 patients who presented in surgical outpatient door with various breast swellings was done. Data was analyzed from diagnosis and types of surgical management. Of the 100 breast lesions, 63 (63%) underwent modified radical mastectomy with axillary lymph node dissection, thoracoabdominal skin flaps were applied on eight patients. Sentinal lymphnode dissection was done in five (5%) cases followed by axillary dissection in four with one case managed with breast conservative surgery. Total 17 cases (17%) were not diagnosed definitely before operation hence underwent diagnostic excision biopsy. In clinically node negative cases of carcinoma breast, accuracy of ultrasonography guided fine needle aspiration cytology was found to be more than 80%. Preoperatively diagnosed 11 (11%) benign cases underwent surgical excision. Incision and drainage was performed in 2 cases. In our experience of 100 cases of breast lesions, surgical management done as per guidelines provided good outcome. New techniques applied also gave fine results with good accuracy.

Keywords-Breast carcinoma, core needle biopsy, sentinel lymph node dissection, thoracoabdominal flap, Lumpectomy.

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