Backgrounds: Breast cancer is the uncontrolled growth of breast cells. The number of new breast cancer cases reached 68,858 cases (16.6%) of the total 396,914 new cancer cases in Indonesia, while the number of deaths reached 22 thousand cases. The rate of breast cancer in Bali ranks first in the most common types of cancer in women. aim: Knowing the characteristics and clinical features of breast cancer patients at the Sanjiwani General Hospital in Gianyar from January to December 2021. Methods: This study uses a descriptive design to describe or make a description of a condition or situation objectively. This study will use secondary data from medical records at the Sanjiwani Hospital Gianyar, including age, parity, family history, menopausal status, chief complaint, tumor size, metastasis, histopathological type, and breast cancer subtype. Data analysis used univariate data. Results: 116 confirmed breast cancer patients mean age 49.85±9.89 years, multipara 75.9%, without a family history, 97.4%, premenopausal and menopause status are the same, most complaints are lumps 45.7%, T4 size 55.2 %, lymph nodes with positive nodules 71.6%, without metastases 91.4&, typeInvasive carcinoma of no special type grade 2 38.8%, and luminal subtype B Her 2- 37.9%. Conclusion: Most of them are middle-aged, without a family history, with complaints coming because of lumps, T4 size with positive nodules without metastases, most are Invasive carcinoma of no special type grade 2 and subtypeLuminal B Her 2 (-).
Chest wall resections and reconstructions are routinely performed to close defects after primary breast tumor resections. Depending on the size of primary breast tumors, the reconstructive technique requires more challenging approaches. In this study, we would like to introduce a novel technique which can be applied as a method in covering various sizes of skin defects after mastectomy termed as “horse-shoe flap technique.” We conducted a series of case reports of patients who underwent chest wall coverage after primary breast tumor resections between October 2018 and November 2019 and selected five cases of breast cancer patients. These patients were treated with the horse-shoe flap technique which relies on shape as its main concept. All chest defects must form a circular shape, based on the principle that adequate safe tumor margins are best achieved with a circular incision. The donor flap was drawn and taken from the outer circle area with a larger arc, depending on the defect's diameter size. Five post-mastectomy chest wall defect cases had been successfully closed with this technique. Patients were all female, ranging from 36 to 55 years of age. The smallest chest defect was 4 cm in diameter, and the largest was 26 cm. All the defects were closed using a 120-degree horse-shoe flap design. One patient experienced marginal necrotic skin, and one case had formed postoperative seroma. The horse-shoe flap technique proves to be an excellent option for closing chest skin defects which can be applied for various sizes of skin defects with minor complications.
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