Surgical options in management of early breast cancer in the older age groupName : Dr. Abdalla SAAD ABDALLA
Affliation : Consultant Breast Surgeon
University : Basildon and Thurrock University Hospital
Country : UK
Breast cancer regarded as the commonest malignant disease in women and accounted for 27% of cancers in developed countries . Mainly diagnosed in females over 50 years of age and 33% of patients of age of ≥70 years. It is noticed the older patients are treated with a narrower range of options that usually offered to the younger group . We will explore the surgical techniques used to treat breast cancer in the older group.
Material : A database review identified surgically treated 170 patients aged ≥70 years with early breast cancer had been operated for breast cancer between 2010-2017 at Basildon University Hospital in England and Greater Poland Oncology Centre in Poznan-Poland. The procedures included mastectomy, breast conservative surgery (BCS),axillary sentinel node biopsy (SNB) or axillary clearance (ANC).
Results: Mastectomy was performed in 72 % and 28% had BCS. Mastectomy with ANC was done in 26% o, where mastectomy and SNB biopsy in 46% . Histology showed 76% invasive ductal carcinoma and 11% invasive lobular carcinoma.
Discussion: The number of elderly breast cancer patients is rising as a result of increase in the aged population. The presumption was that breast cancer patients of older age group have comorbidities that override the life-threatening risks associated with cancer. This has resulted in deprivation of these patients from optimal treatment and are treated with a narrower range of treatment options than usually offered to their younger counterparts.
Conclusion: Elderly breast cancer patients should be given the equal opportunity to be offered treatment in the same way as their younger counterparts.
Dr Abdalla SAAD ABDALLA , MBBCh , SD, PhD, FRCS. Consultant breast surgeon at Basildon and Thurrock University Hospital , Essex-England. He did his postdoctoral research at Karol Marcinkowski Medical University in Poznan-Poland. He has published more than 25 papers in reputed journals and currently involved in some research projects related to breast cancer management in United Kingdom and Poland.