Nausheen Hashsham, Qasim Ali, Faisal Murad, Tariq Nawaz, Asif Raza, Asif Zafar.
Breast cancer: multidisciplinary care and clinical outcomes.
J Rawal Med Coll Jan ;16(1):40-1.

Background: To assess the effect of multidisciplinary approach on the management of carcinoma breast patients. Methods: In this descriptive study analysis was performed for the records of 158 consecutive women with breast lesions examined in consultation in a multidisciplinary breast cancer centre between surgeons, oncologists and pathologists through video conferencing. Detailed examination was performed. Relevant mammograms, pathology slides, and medical records were reviewed. Results: 46.1% patients were referred to HFH for Modified Radical Mastectomy (MRM) after chemotherapy and 53.9% were referred to NORI for chemotherapy and later their MRM was done. Modified radical mastectomy was performed in 66 and breast conservative surgery in 2. Stage II (42.7%) was the commonest. Conclusions: The multidisciplinary breast cancer evaluation program led to an increase in neo-adjuvant chemotherapy. It provided second opinions for many patients with breast carcinoma. This has helped in a better follow up up of patients and has improved patient satisfaction.

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