Frequency of Surgical Clips Placement in Breast Cancer Patients in Southwestern Iran: A Retrospective Study

Document Type : Original Article

Authors

1 Department of Clinical Oncology and Cancer Research Center, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Department of oncology , Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

3 Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

4 Department of Surgery, Apadana Hospital, Ahvaz, Iran.

10.22118/jsmj.2024.433830.3359

Abstract

Introduction:
Breast cancer is one of the most common cancers in women. Locoregional treatment of this disease includes surgery and radiotherapy. Surgical clips placement, to determine the tumor bed, is very helpful in radiotherapy planning. It seems that in this region of Iran, surgeons are less familiar with this issue or do not realize its importance and use this technique insufficiently. Therefore, our study was conducted with the aim of determining the frequency of clips placement in breast cancer patients in this region.

Method:
This retrospective study was performed on all women with breast cancer referred to the department of clinical oncology at Golestan Hospital from April 2016 to March 2017. The frequency of clips placement was determined among patients who have undergone breast conserving surgery in this 2-year period. The demographic and clinicopathological data of these patients were reviewed and analyzed.

Results:
Out of a total of 1059 patients with breast cancer, 944 (89.14%) underwent breast-conserving surgery, of which 89 patients (8.40%) had undergone surgical clips placement. The mean number of clips was 3 and in 58 patients (65.17%) more than 3 clips were placed.

Conclusion:
Considering the small number of clipped cases in this region (and probably the whole of Iran), it is recommended that by holding training workshops, surgeons will become more familiar with the importance and necessity of surgical clips placement and its technique.

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