A STUDY OF RESIDUAL BREAST TISSUE IN POST MASTECTOMY SKIN FLAP

Abstract

Background: The objective of any mastectomy is to rid the chest wall of any breast tissue but since the breast being unencapsulated, there is every chance that some amount of breast tissue may be left behind in the skin aps after resection. As the remnant breast tissue is likely to be exposed to the same carcinogenic risk factors as the tissue removed. Hence, there is always a possibility that the residual tissue may become the seat of a recurrence. To get rid the chest wall so far the residual breast tissue will Objective: be minimal and the recurrence of breast carcinoma will be less. Patents Data source: of proven case of CA breast who underwent MRM at RG KAR MEDICAL COLLEGE AND HOSPITAL from July 2016 to June 2018 are included in the study group. This is a prospective study Study design: of total 45 patients are selected. Materials and methods: Prospective analysis of 45 post MRM women whose mean age is 49.5 years (mean ± SD age, 49.5 ± 2.4 years). Tissue specimens taken from central part of four quadrants of two skin aps for histo-pathological examination. Skin ap thickness measured for more than 8mm. All patients followed for any recurrence of breast carcinoma. Results: Of all histo-pathological specimens left sided breast cancer cases were more common than right side. 48-49 years age group had the most number of cases and more than 53 years the least. The lower medial quadrant the most 5(45.45%), upper and lower lateral quadrant 3(27.27%) each for positive and upper medial quadrant negative for breast tissue. Breast carcinoma negative in all specimens. Skin ap necrosis of 2(4.44%) cases. No recurrences noted during my study period. My study has demonstrated presence of residual breast tis Conclusion: sue in a signicant percentage of post mastectomy skin aps. No residual cancer tissue was found. During the duration of the study, no recurrence of breast carcinoma was detected in patients with residual breast tissue in skin aps.