Epidemiological and Clinical Profile of Breast Cancer Patients at Kr Hospital, Mysore

Abstract

BACKGROUNDCancer rates are set to increase at an alarming rate globally to 15 million new cases in the year 2020. Worldwide breast cancer is the most frequent cancer in women and represents the second leading cause of cancer death among women (after lung cancer). Presently, 75,000 new cases occur in Indian women every year. Immunological and histological management of breast cancer requires multidisciplinary treatment. The difference in management of breast cancer under the hands of surgical oncologist and general surgeons vary and need for aggressive planned neo-adjuvant chemotherapy by medical oncologist is needed. MATERIALS AND METHODSThis is a retrospective descriptive study hospital records of 104 patients admitted from October 2013 to October 2016 were used for study and data analysis. Study Design-A retrospective descriptive study. RESULTSThe average mean age of our female breast cancer patients was lower compared to the statistics of western world with at least one to two decades difference. A large percentage of patients were from rural setup and had longer duration of symptoms. Left side lump in the breast was the most common symptom. Screening by mammography and staging procedures such as bone scan, Computed Tomography (CT) scan and Magnetic Resonance Imaging (MRI) were sparsely used. The most common histology was infiltrating ductal carcinoma. CONCLUSIONModified radical mastectomy is considered gold standard in early breast cancer. Infiltrating ductal carcinoma was more commonly associated with positive lymph nodes compared to other histopathologies. Neoadjuvant chemotherapy was used mainly by clinical oncologists suggesting a more rational approach toward the management of breast carcinoma. [4] Epidemiology of breast cancer in India is very limited. Locally advanced breast cancer (LABC) constitutes more than 50% to 70% of the patients presenting for treatment. [4] Immunological and histological management of breast cancer requires multidisciplinary treatment. [3] The difference in management of breast cancer under the hands of surgical oncologist and general surgeons vary and need for aggressive planned neoadjuvant chemotherapy by medical oncologist is needed. Hence, this retrospective study was carried out to know the epidemiology, clinical presentation, risk factors and management strategies for breast cancer patients. 'Financial or Other Competing Interest': None. Submission 15-11-2017, Peer Review 12-01-2018, Acceptance 18-01-2018, Published 29-01-2018 Main, KGS Layout, Saraswati Nagar, Bangalore-40. E-mail: vikilaxman@gmail.com DOI: 10.14260/jemds/2018/153 KEYWORDS MATERIALS AND METHODSA total of 104 primary breast cancer patients admitted over a period of 3 years period (October 2013 -October 2016), in KR Hospital, Mysore were taken up for study. Post mastectomy patients outside KR Hospital were excluded. A detailed retrospective descriptive study analysis of patients was done and tabulated. The retrospective descriptive study information was collected from the medical reco...