Seroma formation after breast cancer surgery: incidence and risk factors

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Main Authors: Jangjoo A, Mehrabi Bahar M, Aliakbarian M
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2009-08-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14122.pdf&manuscript_id=14122
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author Jangjoo A
Mehrabi Bahar M
Aliakbarian M
author_facet Jangjoo A
Mehrabi Bahar M
Aliakbarian M
author_sort Jangjoo A
collection DOAJ
description "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Seroma formation, or the subcutaneous collection of fluid, is a common problem after surgery for the breast cancer. It may lead to wound-related complications and also can delay adjuvant therapy. The aim of this study was to investigate the effect of various clinical and therapeutic variables on seroma formation."n"n Methods: A prospective cross sectional study of patients who underwent surgical therapy for breast cancer was carried out. Modified radical mastectomy was performed on 67 patients (65%) and 28 patients (27.2%) underwent breast conservative surgery. Simple extended mastectomy was done for the remaining 8 patients (7.8%). Seroma formation was studied in relation to age, type of surgery, tumor size, nodal involvement, preoperative chemotherapy, surgical instrument (electrocautery or scalpel), use of pressure garment, and duration of drainage. All of the patients followed for 4 weeks after surgery."n"nResults: A total of 103 patients with breast cancer were studied. The mean age of the patients was 48.3 years (25-82). Seroma occurred in 27 (26.2%) patients. There was statistically significant relation between age and seroma formation after breast cancer surgery (p=0.005), while other factors studied was found to be significantly ineffective. In addition, there was not any relation between seroma formation and drain duration. However, two factors including type of the operation and level of lymphatic dissection was considerable with confidence interval up to 90%, but it was not statistically significant with confidence interval >95% (p=0.068 and 0.063 respectively)."n"nConclusion: These findings suggest that the age is a predicting factor for seroma formation in breast cancer patients, while other factors do not significantly affect that.
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spelling doaj.art-d1c882aef0da4f3cb3bfe4fdfdfdac2b2022-12-21T20:47:37ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222009-08-01675368373Seroma formation after breast cancer surgery: incidence and risk factorsJangjoo AMehrabi Bahar MAliakbarian M"n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Seroma formation, or the subcutaneous collection of fluid, is a common problem after surgery for the breast cancer. It may lead to wound-related complications and also can delay adjuvant therapy. The aim of this study was to investigate the effect of various clinical and therapeutic variables on seroma formation."n"n Methods: A prospective cross sectional study of patients who underwent surgical therapy for breast cancer was carried out. Modified radical mastectomy was performed on 67 patients (65%) and 28 patients (27.2%) underwent breast conservative surgery. Simple extended mastectomy was done for the remaining 8 patients (7.8%). Seroma formation was studied in relation to age, type of surgery, tumor size, nodal involvement, preoperative chemotherapy, surgical instrument (electrocautery or scalpel), use of pressure garment, and duration of drainage. All of the patients followed for 4 weeks after surgery."n"nResults: A total of 103 patients with breast cancer were studied. The mean age of the patients was 48.3 years (25-82). Seroma occurred in 27 (26.2%) patients. There was statistically significant relation between age and seroma formation after breast cancer surgery (p=0.005), while other factors studied was found to be significantly ineffective. In addition, there was not any relation between seroma formation and drain duration. However, two factors including type of the operation and level of lymphatic dissection was considerable with confidence interval up to 90%, but it was not statistically significant with confidence interval >95% (p=0.068 and 0.063 respectively)."n"nConclusion: These findings suggest that the age is a predicting factor for seroma formation in breast cancer patients, while other factors do not significantly affect that.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14122.pdf&manuscript_id=14122Seromabreast cancer surgeryaxillary dissection
spellingShingle Jangjoo A
Mehrabi Bahar M
Aliakbarian M
Seroma formation after breast cancer surgery: incidence and risk factors
Tehran University Medical Journal
Seroma
breast cancer surgery
axillary dissection
title Seroma formation after breast cancer surgery: incidence and risk factors
title_full Seroma formation after breast cancer surgery: incidence and risk factors
title_fullStr Seroma formation after breast cancer surgery: incidence and risk factors
title_full_unstemmed Seroma formation after breast cancer surgery: incidence and risk factors
title_short Seroma formation after breast cancer surgery: incidence and risk factors
title_sort seroma formation after breast cancer surgery incidence and risk factors
topic Seroma
breast cancer surgery
axillary dissection
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14122.pdf&manuscript_id=14122
work_keys_str_mv AT jangjooa seromaformationafterbreastcancersurgeryincidenceandriskfactors
AT mehrabibaharm seromaformationafterbreastcancersurgeryincidenceandriskfactors
AT aliakbarianm seromaformationafterbreastcancersurgeryincidenceandriskfactors