Ayesha Khan, Afroz Mushtaq, Syeda Rifaat Qamar Naqvi, Razia Bano, Fahad Ali Khan, Ruqia Begum, Said Zaman, Sana Mushtaq.
Overview of patient preferences in the surgical management plan of early breast cancers.
Pak Armed Forces Med J Jan ;71(6):1947-49.

Objective: To determine patient preferences in the surgical options of early breast cancers and surgeon’s role in the decisionmaking. Study Design: cross-sectional study. Place and Duration of Study: Breast Surgery Department, Combined Military Hospital Rawalpindi, Pakistan, from Nov 2020 to May 2021. Methodology: Patients having early carcinoma breast were studied, i.e., clinical stage 1 or 2, and their surgical preference was recorded. The cases were discussed in multidisciplinary meetings, and a discussion session with patient conducted and then final decision taken from the patient was recorded again, and the results compared. Results: A total of 28 patients were included in this study and their surgical preferences recorded. Of these patients 22 (78.5%) agreed to breast conservation initially, whereas one of the patients wanted mastectomy. Five (17.8%) patients were undecided between the two. After multidisciplinary team recommendation and discussion with surgeon, only one patient opted for mastectomy (3.6%). Conclusion: Patients with early breast cancer when offered a surgical decision between breast conservation and mastectomy mostly opt for breast conservation; those who select mastectomy do so because of the fear of recurrence.

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