Annals of African Surgery

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Surgical Margin Status after Breast Conservation Surgery at Aga Khan University Hospital Nairobi

B Riogi, R Wasike


The conservation of the breast in a woman after diagnosis of breast cancer plays a vital role in the overall management of the patient. While the  cosmetic outcome enhances the patients’ self-image, assurance of clear margins is essential in prognostication. An analysis was carried out to assess the adequacy of surgical margins at our unit. Methodology: Retrospective analysis of breast surgery for breast cancer patients was done from 2008 to 2011 at Aga Khan University Hospital. Results: Twenty one patients with  breast cancer had breast conservation surgery with an average age of 44.8 years. The commonest histological diagnosis (71.4%) was invasive ductal carcinoma. Negative margins were obtained in 85.7%. Modified radical  mastectomy was performed on patients who had residual tumour after  re-excision. Conclusion: Breast conservation surgery can yield acceptable  margin status with appropriate clinical and radiological selection of patients with early breast cancer.

Key Words: Breast conservation surgery, Surgical margins

AJOL African Journals Online