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Volume 3 Issue 5 November (Supplement) 2015

Original Articles

SPECTRUM OF CLINICAL PROFILE AND TREATMENT ASPECTS OF BREAST CANCER IN MALWA REGION OF PUNJAB
Vikas Goyal, Nitin Nagpal, Nitika Dhuria, Shamim Monga, Monica Gupta

Introduction - Cancer is one of the most dreaded diseases in the world. Carcinoma breast is the most frequent cancer in women worldwide and also in India. Earlier carcinoma breast was thought to be a disease of high socioeconomic status and urban area, its prevalance is increasing in low socioeconomic and rural area in India at a alarming pace which needs to be addressed and represented. Material and Methods-Study was conducted in a retrospective manner in patients attending surgery department, from October 2013 to September 2015.The epidemiological data pertaining to demography, clinical presentation, risk factors, laboratory findings and treatment of carcinoma breast was obtained. Results-A total of 177 patients of breast cancer were admitted over a period of two years. The mean age of patients was 50.15+ 11.79 years. Most common age of presentation was 4th - 5th decade of life.173 (97.7%)  patients were female and 4 (2.25%) were male. Based on menstrual history 81 (45.7%) patients were premenopausal and 96 (54.3% ) patients were postmenopausal. Upper outer quadrant was the most favoured location found in  52.5%. Early breast cancer was seen in 19(10.7%) patients, Locally advanced breast cancer in 147(83.1%)  and metastatic breast cancer in 11 (6.2%) of patients. Modified radical mastectomy was the most common surgery done in 89.2% of patients, while breast conservative surgery was done in 1.6% and toilet mastectomy was done in 9.2% patients. Conclusion- Our study showed late presentation, poor awareness and knowledge about breast cancer in rural area. Modified radical mastectomy should be preferred surgery in our set up. The government should take measures to increase awareness and educate women regarding breast self examination so that they can have early access to the treatment.
Keywords: Breast cancer, Epidemiology, Modified radical mastectomy

 
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