Delay in presentation to the hospital and factors affecting it in breast cancer patients attending tertiary care center in Central India

被引:15
作者
Thakur, N. A. [1 ,2 ]
Humne, A. Y. [3 ]
Godale, L. B. [1 ,2 ]
机构
[1] Govt Med Coll, Dept Prevent Med, Latur, Maharashtra, India
[2] Govt Med Coll, Dept Social Med, Latur, Maharashtra, India
[3] Govt Med Coll, Nagpur, Maharashtra, India
关键词
Breast; cancer; India; late presentation; WOMEN; SPECTRUM; RISK;
D O I
10.4103/0019-509X.175602
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
INTRODUCTION: Despite lower incidence of breast cancer in India, the total number of cases and the net mortality is high. To reduce this increasing load of mortality due to breast cancer we need to lay emphasis on early detection and increased use of systemic therapy. Early detection itself depends on early presentation to a health facility; thus, it is important to identify factors affecting delay in a presentation to hospital. AIM AND OBJECTIVES: To study the clinico-social profile of breast carcinoma patients attending a tertiary care hospital and to study the time lag since detection of lump by women and presentation to the hospital and factors affecting them. MATERIALS AND METHODS: A total of 120 primary breast cancer patients visiting a tertiary care hospital over a period of 7 months (August 2010 to February 2011) were taken up for study. A detailed retrospective analysis of patients was done according to planned proforma. OBSERVATIONS: Maximum study subjects were in the age group of 41-50 years. Right and left breasts were equally affected. The most common histo-pathological type of breast carcinoma observed was invasive ductal carcinoma (NOS) in 105 (87.50%) cases. Majority of the cases were in stage III or stage II. The median time lag self-detection of lump in the breast by women and presentation to the hospital was 6 months. Women living in a rural area, those with lower socio-economic status and those with older age tend to assess health-care late. CONCLUSIONS: Carcinoma of the breast is a common cancer affecting young to middle age group with invasive ductal carcinoma being the most common histological type. Delay in presentation and late stage presentation is a major concern. Hence, proper awareness and screening programmers are needed to identify, inform and educate these categories of women.
引用
收藏
页码:102 / +
页数:4
相关论文
共 19 条
[1]   Spectrum of breast cancer in Asian women [J].
Agarwal, Gaurav ;
Pradeep, P. V. ;
Aggarwal, Vivek ;
Yip, Cheng-Har ;
Cheung, Polly S. Y. .
WORLD JOURNAL OF SURGERY, 2007, 31 (05) :1031-1040
[2]  
[Anonymous], 2005, Health Adm
[3]  
[Anonymous], 2008, CANC FACT SHEETS BRE
[4]  
Chauhan A, 2011, ASIAN PAC J CANCER P, V12, P709
[5]  
Dinshaw KA., 1999, Tata Memorial Hospital Cancer Registry Annual Report
[6]  
Fauci AS, 2008, HARRISONS PRINCIPLES, P567
[7]  
Harrison PA, 2010, INT J COLLAB RES INT, V2, P109
[8]   Spectrum of breast cancer in Malaysian women: Overview [J].
Hisham, AN ;
Yip, CH .
WORLD JOURNAL OF SURGERY, 2003, 27 (08) :921-923
[9]  
Kumar V., 2007, Robbins basic pathology, V8th ed.
[10]  
Laishram RS, 2011, INT J PATHOL, V9, P40