A prospective audit of simple mastectomy under local anaesthesia

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
N OakleyA J Shorthouse

Abstract

The treatment options for breast cancer in elderly or unfit patients can be complicated by their coexistent medical problems. This study assesses the feasibility of simple mastectomy under local anaesthesia by means of a prospective audit on 36 patients with breast carcinoma and an ASA grade of 3 or worse. In 27 patients the tumour had escaped from tamoxifen control, no patients having had previous radiotherapy. Operation time ranged from 40 to 70 min, average blood loss was 200 ml and an average inpatient stay of 5 days. Only two patients had a resection margin less than 1 cm and in none was there significant morbidity or mortality despite the patients' poor pre-operative medical condition. This confirms the potential of using local anaesthetic for simple mastectomy. Eliminating the morbidity/mortality due to general anaesthesia widens the range of treatment available (especially to medically unfit patients) giving them the option of a rapid resolution to what could be a distressing protracted condition.

References

Jan 1, 1992·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·J F RobertsonR W Blamey
Jan 1, 1992·International Journal of Radiation Oncology, Biology, Physics·J BoyagesV J Gebski
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Citations

Apr 20, 2004·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·R A AudisioA P Zbar
Apr 25, 2003·Critical Reviews in Oncology/hematology·Emmanuel SamainJean Marty
Feb 27, 2003·Breast Cancer Research and Treatment·Abed Y JosephSandra Yee
Feb 26, 2005·The Breast Journal·Grant W Carlson
Dec 1, 2012·Breast Care·Vikram SwaminathanRiccardo A Audisio
Oct 2, 2007·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Lynda Wyld, Malcolm Reed
Jun 18, 2004·Anaesthesia·H TalbotS R Kohlhardt
Dec 17, 2008·Clinical Oncology : a Journal of the Royal College of Radiologists·M W R ReedL Wyld

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