CLINICO-MORPHOLOGICAL PROFILE IN BREAST CANCER PATIENTS IN A TERTIARY CARE HOSPITAL IN WESTERN RAJASTHAN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 4
Abstract
BACKGROUND Breast cancer is the most common malignancy in females. Data on breast cancer profile of patients in Rajasthan, especially Western region is scant. The clinical and morphological presentation may be different due to which appropriate strategy may have to be employed for screening, diagnosis and treatment purpose. AIMS To study the clinical and morphological profile in breast carcinoma patients in a tertiary care hospital in Western Rajasthan. METHODS This prospective study was carried out on 50 newly diagnosed cases of breast carcinoma. The cases were confirmed on cytology following which the morphology was examined on biopsies. STATISTICAL ANALYSIS Data was analysed by using Statistical Package for Social Sciences (SPSS) version 21 where required. RESULTS Mean age of patients was found to be lower compared to western countries. Many of the patients were from rural background and patients often presented with longer duration of symptoms and advanced clinical stage. Left side was more frequently involved. The tumour was commonly of higher grade (Grade 3). CONCLUSION Breast cancer occurs in younger age females in India including Western Rajasthan region. Considering the younger age of presentation of patients and decreased affordability of patients, mammography might be a less effective screening test due to higher density of breast in young age, which decreases the sensitivity of mammography. Patients are mostly from rural background and present more frequently with advanced stage breast cancer. The cancer is frequently high grade and increased involvement of lymph nodes is also seen. Awareness campaigns, breast self-examination, improved access to diagnostic resources and health care are important measures that should be unde rtaken for increasing early diagnosis. To the best of our knowledge, this is the first study examining the clinico-morphological profile of breast cancer patients in Western Rajasthan region.
Authors and Affiliations
Meenakshi , Rajni , Meeta , Neha
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