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A COMPREHENSIVE STUDY ON INCIDENCE AND RISK FACTORS OF SEROMA FORMATION IN BREAST CANCER SURGERY PATIENTS

Sadam Hussain, Ghulam Mujtaba, Muhammad Burhan ulhaq

Introduction: Breast cancer is the second leading cause of cancer death among women. The surgical treatment of choice for these patients is either modified radical mastectomy or breast preservation depending upon stage of the disease. Aims and objectives: The basic aim of the study is to analyze the incidence and risk factors of seroma formation in breast cancer surgery patients. Methodology of the study: This analytical study was conducted in DHQ hospital, Lodhran during December 2018 to July 2019. This study was conducted with the permission of ethical committee of hospital and by informing the patients. There were total 120 patients from the age group 40 to 50 years selected for this study. All patients undergoing surgical therapy were included in this study. Level II axillary lymph node dissection was performed for both groups. None of the patients underwent immediate reconstruction. The demographic data and clinical information were extracted from case records. Results: The data was collected from 120 breast cancer patients who undergo surgery. The mean age range for this study is 46.3 years. One hundred patients (83%) underwent MRM and BP was performed in 20 (17%) patients. The axillary node involvement was significantly different between MRM and BP patients (χ2 = 4.52, df = 1, P = 0.03) indicating that those who underwent MRM had higher rate of positive axillary nodes compared to those who received BP. Thirty-one mastectomies were performed by scalpel dissection of the skin flap. Sixty-six percent of patients (66%) were node positive and the remaining 34% (34%) were node negative. Conclusion: It is concluded that seroma formation after breast cancer surgery is independent of duration of drainage, compression dressing and other known prognostic factors in breast cancer patients except the type of surgery. Key words: Seroma, Breast, Cancer, Patients.

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