Sonia Moses1, Sapna Shukla2, Imran Khan Mansoori3
Breast cancer is most common cause of death in middle aged women today in most of developed cities of India, and up to some extent in rural areas. Significant change is observed during last two decades in distribution of ca breast in India. In this paper, our proposed work focuses on identifying stage of ca breast along with age at which patient is diagnosed as ca breast. This paper also analyzes ca breast ratio for rural and urban population. Then we also tried to find out menstrual status of patients and chief complaints associated with ca breast patients at that particular stage.
AIMS OF THE STUDY: The aim of this paper is to document the patient characteristics, stage at presentation of breast carcinoma. To identify specific age group and distribution of ca breast in females. To estimate the disease load on the community.
SETTINGS & DESIGN: This was retrospective and prospective study n=400 cases of carcinoma breast.
METHODS & MATERIALS: Only FNAC or biopsy proven cases was included in the study. Patients were evaluated in reference to the risk factors i.e. age, menstrual history, breast feeding, OCP/HRT, H/O other malignancy and stage of presentation at the time of diagnosis. For proper staging triple assessment was done, triple assessment included clinical examination, imaging and histopathological examination. Metastatic work done by using LFTs, USG abdomen & chest, X-ray chest & spine and bone scan/CT brain if needed.
RESULTS & CONCLUSION: There is significant difference in age at the time of diagnosis and stage distribution of the patients. Mean age of presentation is 40 years, which is ten years earlier as compared to other studies. Bulk of the patients around 55% fell between 30-50 years age group. In stage presentation, maximum patients came under stage II which was 45%,while there were 38% of patients in stage III, 16% patients were fell in stage IV, only 1% patients were found in stage I and none of pt were diagnosed under stage 0. Lymph node metastasis was found in 63% of patients. In view of menstruation 67% of pts were postmenopausal, 18% perimenopausal and 15% were menstruating. According to location 66.5% patients were from rural and 33.5% belong to urban area. There is significant difference in age of distribution and stage of presentation of carcinoma breast, which indicates impact of risk factors and awareness towards the carcinoma breast in our developing country.
