BACKGROUND Breast cancer is the most common site-specific cancer in women and is the leading cause of death from cancer for women of age 40 to 44 years. It is the second most common cancer in Indian women next only to carcinoma cervix. It is one of the commonest causes of death in many developed countries and becoming frequent in developing countries as well. Aims and Objectives of Study-1. To study the clinical presentations and epidemiological factors of patients with carcinoma breast in rural setup. 2. To study the efficacy of Surgery, followed by chemotherapy and hormonal therapy in carcinoma breast. 3. To study the pattern of recurrences and relation of recurrence with compliance to treatment. MATERIALS AND METHODS The present study was a prospective study carried out at Sushrut Hospital, Ahmedpur. Study duration was 3 years. Around 83 patients with untreated breast carcinoma were included. RESULTS All the 83 patients had lump in breast as their complaint and 13 patients had pain as their chief complaint. No patient in our study had any nipple discharge. All the patients with operable breast cancer were treated with modified radical mastectomy followed by chemotherapy and Tab. Tamoxifen 10 mg twice daily. During follow-up, 2 patients had local recurrence. 4 were having distant metastasis with deaths during 3 years study duration. CONCLUSION Patients with carcinoma breast, presenting to hospital in rural setup tend to present late when their disease is either locally advanced or has spread widely. Most of the patients presenting at our setup belonged to stage III.
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