Trends in carcinoma breast at INHS asvini, Mumbai

Abstract

Background: The treatment of carcinoma breast requires a multidisciplinary approach with the integration of surgery, chemotherapy and radiation therapy. The advent of screening and increased awareness among the public has led to a increased number of cancers being detected at e arlier stages. Materials and Methodology: We reviewed the case sheets of 51 patients with cancer breast who underwent treatment for their cancers at our centre between 2008 and 2011 . Descriptive statistics are reported using mean (95%CI) or frequency (percentage), as appropriate. Results: Total Number of evaluable patients was 51 . Their average age was 49.37 (95% CI- 46.42–52.32 yrs) with 35.29% being premenopausal. 1.96% of the patients was DCIS (Stage 0), 3.92% had stage I carcinom a breast, 3 5 .29% stage II and 58.82% patients had stage III carcinoma breast. Of these 51 patients 21.57% patients were treated with breast conserving surgery and the rest underwent modified radical mastectomy. All patients except with DCIS underwent chemotherapy-06 cycles. However all the patients had radiotherapy. There were 56.86% left sided breast cancers as opposed to 43.14% right sided cancers. All patients of stage0 and stage 1 underwent breast conservation surgery (n=1+2) , however only 47.06% (08) patients of stage II and 3.22%(01 patient) of stage III underwent breast conservation. All patients with breast conservative surgeries received an electron boost to the scar. All patients with stage III and 58.82% with stage II breast cancers underwent nodal irradiation. Only TO, T1, T2 lesions with N0 nodal status were considered eligible for elimination of nodal radiation (19.61%). Conclusion: Carcinoma breast is a disease which affects both men and women. Age groups from 20 to 70 may be affected .The treatment involves surgery, chemotherapy and radiotherapy. Early detection and management is the cornerstone of treatment. However mastectomy remains the surgical option of choice due to the advanced stage of cancers seen in India.