Breast Cancer: Multidisciplinary Care and Clinical Outcomes.

Abstract

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