الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Breast cancer is the most common malignancy in female and surgical treatment still remains a common procedure for its treatment. Despite trends toward breast-conserving treatment of breast cancer, as many as 70% of women who are diagnosed with breast cancer undergo modified radical mastectomy as their primary surgical therapy.
Complications associated with a modified radical mastectomy include issues associated with wound healing, such as hematoma, wound infection, seroma, nerve injury and chronic pain. In addition to upper limb lymphedema, and local recurrence.
The aim of this study was focused on postmastectomy local complications and their management policy. this study was conducted on forty female cases admitted to the Surgical Oncology Unit Alexandria Main University Hospital during one year. all patients subjected to detailed history taking as regard present disease, past and family history of similar condition, drug history and history of systemic diseases.
General and local examinations of both breast was done with careful examination of the mass as regard; site, size, shape, surface, consistency, fixity to underlying tissues as well to the overlying skin and any skin changes. Also local examination both axillae was done for any lymph node and when present examined for; site, size, number, consistency, fixity to each other, to underlying tissues as well to the covering skin.
Laboratory investigations including complete blood picture, fasting blood sugar, liver and renal function tests, bleeding and clotting times, prothrombine activity were done.
Radiological investigations in the form of mammogram combined with ultrasonography (U/S), chest x-ray, abdominal ultrasound and also histopathological studies (FNA) were routinely done in all patients. Computerized tomography scan (CT-scan) for chest and abdomen and bone scan were done for 4 patients with clinical stage III. a written consent was then taken preoperatively for all patients, then modified radical mastectomy operation was done.