“…Table 3 shows the age-standardized relative survival rates of breast cancer patients from selected registries (with the age distribution of patients in Madras as the reference). The 5-year relative survival from Madras was lower than that observed in European and English registries , US-SEER White and Black populations (Ries et al, 1994), Alberta, Canada (Berkel et al, 1990), New South Wales, Australia (Taylor et al, 1994) and in Bombay, India (personal communication, BB Yeole) and greater than in Bangalore (Nandakumar et al, 1995), Khon Kaen, Thailand (Sriamporn et al, 1995) and Trivandrum, India (Krishnan Nair et al, 1993). The lower survival in Madras than in developed countries could be explained by factors such as lower awareness, lack of screening and other early detection activities, late detection of disease and under availability as well as lack of adequate use of advances in treatment, such as adjuvant therapy.…”