Breast Cancer in Women of Younger than 35 Years: A Single Center Study

Das, Umesh; Kc, Lakshmaiah; Dasappa, Lokanatha; K, Govind Babu; Jacob, Linu Abraham; Babu, Suresh

doi:10.4172/2155-9929.1000261

Cited by 10 publications

(9 citation statements)

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“…BC in women younger than age 35 years is uncommon and accounts for 2% of all BCs in the West. 21 In a previous study of 320 Indian women with BC, 36 of the patients (11.3%) were younger than 35 years old. 21 The proportion of women younger than age 36 years in the current study is comparable to that found in the study by Das et al, 21 but both are much higher than the published Western data of 1% to 2%.…”

Section: Discussionmentioning

confidence: 94%

“…21 In a previous study of 320 Indian women with BC, 36 of the patients (11.3%) were younger than 35 years old. 21 The proportion of women younger than age 36 years in the current study is comparable to that found in the study by Das et al, 21 but both are much higher than the published Western data of 1% to 2%. The proportion of women living below the national minimum wage (36%) should not be overlooked because this could somewhat deter patients with BC from reporting their health conditions in a timely manner at the clinic.…”

Section: Discussionmentioning

confidence: 94%

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Effect of Sociodemographic Variables on Patient and Diagnostic Delay of Breast Cancer at the Foremost Health Care Institution in Nigeria

Olarewaju

Oyekunle

Bamiro

2019

JGO

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PURPOSE Breast cancer (BC) has the highest mortality rate among women with any form of cancer in developing countries. Unfortunately, patients with BC in Nigeria commonly present with late-stage disease. The current study examined the types and magnitude of delay in BC diagnosis at the foremost hospital in Nigeria and also identified the influencing factors. MATERIALS AND METHODS This cross-sectional study involved questionnaires given to 275 patients with BC at University College Hospital, Ibadan, Nigeria, from August to October 2018. Sociodemographic characteristics and information relevant to management of their health problem were obtained after ethical committee approval. Data collected were analyzed by SPSS (version 23; SPSS, Chicago, IL) to assess the types and magnitude of delay experienced by patients, as well as identify related determinants using the appropriate statistical test with P = .05. RESULTS The mean age of respondents was 49 (± 11.9) years with the majority being Yoruba (n = 154; 56%), Christians (n = 211; 76.7%), married (n = 193; 70.2%), employed (n = 151; 54.9%), having tertiary education (n = 142; 51.6%) and an average income of more than 18,000 naira (n = 176; 64%). Patient delay and diagnostic delay were observed among 97 respondents (35.3%) and 84 respondents (30.5%), respectively. Although patient delay was significantly associated with age, ethnicity, and marital status, the only variable significantly associated with diagnostic delay was marital status ( P < .05). Level of income, education, employment status, and religion did not significantly ( P > .05) contribute to either of these delays. CONCLUSION BC management at the pioneer Nigerian teaching hospital is challenged by both delays in patient presentation at clinics and delays in the process of being diagnosed. Such delays need to be addressed to achieve favorable outcome of patients with BC in Nigeria.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 94%

Effect of Sociodemographic Variables on Patient and Diagnostic Delay of Breast Cancer at the Foremost Health Care Institution in Nigeria

Olarewaju

Oyekunle

Bamiro

2019

JGO

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“…Early‐onset breast cancer tends to be more aggressive than late‐onset, with higher stage and grade at presentation with more estrogen receptor‐negative or triple‐negative subtypes . Young females below 40 years have more denser breast tissue which makes them less amenable to routine screening programs making women in this age group more likely to present with a palpable mass with a tumor which tends to be larger and are more likely to have nodal involvement at the time of presentation . Younger aged patients tends to be triple negative which is a significant poor prognostic factor .…”

Section: Methodsmentioning

confidence: 99%

Epidemiology of breast cancer in Indian women

Malvia

Bagadi

Dubey

et al. 2017

Asia-Pac J Clin Oncol

572

376

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Breast cancer has ranked number one cancer among Indian females with age adjusted rate as high as 25.8 per 100,000 women and mortality 12.7 per 100,000 women. Data reports from various latest national cancer registries were compared for incidence, mortality rates. The age adjusted incidence rate of carcinoma of the breast was found as high as 41 per 100,000 women for Delhi, followed by Chennai (37.9), Bangalore (34.4) and Thiruvananthapuram District (33.7). A statistically significant increase in age adjusted rate over time in all the PBCRs namely Bangalore (annual percentage change: 2.84%), Barshi (1.87%), Bhopal (2.00%), Chennai (2.44%), Delhi (1.44%) and Mumbai (1.42%) was observed. Mortality-to-incidence ratio was found to be as high as 66 in rural registries whereas as low as 8 in urban registries. Besides this young age has been found as a major risk factor for breast cancer in Indian women. Breast cancer projection for India during time periods 2020 suggests the number to go as high as 1797900. Better health awareness and availability of breast cancer screening programmes and treatment facilities would cause a favorable and positive clinical picture in the country.

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“…[9][10][11] The incidence of breast cancers is less by 2 to 3% in the west as compared to the Indian population. 12 As per Mohanti et al 7 in young Indian women, the incidence of breast cancers was found to be around 5.5% close to the incidence recorded in the study conducted by Das et al 8 which reported an incidence of 8%. The results of the present study showed a relative incidence of 20% of the cases reported in the younger age groups as per the data retrieved from the archival records of the hospital set-up.…”

Section: Resultsmentioning

confidence: 51%

“…[2][3][4][5] Recently, a phenomenal change has been noticed in the behavior of breast carcinoma cases wherein more of the young women have been found to be more commonly getting afflicted and being diagnosed with breast carcinomas. [6][7][8] The aim of the present study was to evaluate the histo-pathological characteristics of breast carcinomas reported in patients lesser than 40 years of age and compare them with those reported in the elderly age groups.…”

Section: Introductionmentioning

confidence: 99%