Health Condition 1: C509- Malignant neoplasm of breast of unspecified site
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. > 18 years 2. Posted for MRM, lumpectomy or BCS. 3. ASA I to III
Exclusion criteria
Exclusion criteria: 1. Not consenting for study. 2. Bilateral breast surgery 3. Allergic to use of NSAIDâ??s 4. Weight 100 kg. 5. Renal dysfunction, history of upper GI bleed, bleeding diathesis. 6. History of invasive cancer in last 5 years. 7. Chronic use of NSAIDâ??s for other painful conditions 8. Patients received neoadjuvant chemotherapy (NACT) before surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Evaluate the effect of single dose of perioperative ketorolac 30 mg (given before incision) on levels of marker predictive of tumour spread and metastasis â?? VEFF. 2) To evaluate the effect of Ketorolac on other markers of tumour spread i.e. TGF-β, NLR and PLR (platelet lymphocyte ratio) in patients undergoing curative breast cancer resection. Timepoint: baseline - before incision intaroperative - after tumour resection post-operative - 24 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare recurrence free survival (RFS) at two years of follow up in patients undergoing breast cancer resection. 2. Calculate the overall survival (OS) â?? defined as time from date of surgery rill death or last follow up. 3. Effect of single dose ketorolac on perioperative analgesic requirement â?? record the intra-operative and post-operative fentanyl consumption. 4. Adverse effects â?? surgical site bleeding/haematoma/seroma. Timepoint: 1. follow up for RFS - 6 monthly follow up till 2 years after surgery ( total of 4 follow ups). 2. analgesic requirements and complications - for first 24 hours after surgery. | — |
Countries
India
Contacts
National Cancer Institute, All India Institute of Medical Sciences.