A New Beginning with Successful Left Breast Cancer Treatment Through Modified Radical Mastectomy

Pace Hospitals

PACE Hospitals' Expert Oncology Team Delivers a Successful Outcome in Left Breast Cancer Treatment with Modified Radical Mastectomy and Comprehensive Care.

A 65-year-old female presented to PACE Hospitals, HITEC city, Hyderabad with complaints of right lower limb swelling for one month and abdominal pain for further treatment.

Medical History

Upon further investigation, it was revealed that the patient has a history of multiple conditions, including hypertension, diabetes mellitus, bronchial asthma, and coronary artery disease (CAD). She previously underwent appendectomy, hernioplasty, and hysterectomy (the latter performed 30 years ago). Additionally, there is no known history of food or drug allergies.

The patient has a menstrual and obstetric history of P3L3A0 ("P3" indicates three pregnancies, "L3" means three live births, and "A0" signifies no abortions or miscarriages), with no complications noted in her previous pregnancies.

Diagnosis

Upon detailed physical examination and investigations, the patient was diagnosed with a malignancy in the left breast, located in the central and upper inner quadrant, with evidence of nipple retraction but no significant lymphadenopathy in the left axilla.

Tumor evaluation revealed a mass in the central and upper inner quadrant of the left breast, measuring 3 cm x 2 cm, with the skin free but restricted mobility and an indrawn nipple.

Treatment

Following consultations with a team of medical and surgical oncology experts, including Dr. Ramesh Parimi and Dr. Meena, it was concluded that a modified radical mastectomy would be the most effective treatment for the patient's condition.

As the patient was diagnosed with carcinoma of the left breast, a modified radical mastectomy was performed. The patient was positioned supine in the operating theatre under general anaesthesia. A crescent incision was made around the nipple and areola, and a left breast modified radical mastectomy was performed. Additionally, Level 1 lymph nodes in the left axilla were dissected, the wound was closed, and dressing was applied.

Aftermath

The multidisciplinary team of interventional pulmonologist Dr. Pradeep Kiran and endocrinologist Dr. Tripti, worked together to provide comprehensive care, addressing not only the cancer treatment but also her cardiovascular concerns, diabetes management, and respiratory issues. This coordinated approach ensured that her condition was stabilized, allowing her to be discharged in a stable state.

During the postoperative period, the pulmonologist was consulted due to the desaturation of room air, and the patient was closely monitored and treated in the ICU. Given her history of hypertension and coronary artery disease, a cardiologist was also involved in her care, addressing the 95% blockage in the left anterior descending artery. Additionally, an endocrinologist was consulted for the management of her type 2 diabetes mellitus. Medical and surgical oncology specialists were involved in further cancer treatment planning. With coordinated care across multiple specialities, the patient’s condition was stabilized, and she was discharged with a stable condition.

Discharge notes

The patient was prescribed with antihypertensive drugs, antidiabetics, antibiotics, proton pump inhibitors, bronchodilators, laxatives and antiplatelet medications. The patient was instructed to contact PACE Hospitals in case of any emergency or development of symptoms like fever, abdominal pain, or vomiting.

Review Notes

The patient was advised to follow up with Dr. Ramesh Parimi in the outpatient department after 3 days to assess progress and provide further care as needed.