Abstract

ANEPIDEMOLOGICAL STUDY AND MANAGEMENT OF EARLY BREAST CANCER

Dr.N.Junior Sundresh*, Dr.S.Narendran, V.Gokul, T.Ashwini

ABSTRACT

Breast cancer is one of the commonest malignant diseases of women next to cancer cervix. It accounts for 30- 40% of all female cancers and is responsible for 20% of cancer related deaths in women. The study period is from august 2011 to September 2013 and study was did in Rajah Muthiah Medical College and Hospital in tertiary teaching hospital. A complete clinical evaluation of the case including history, general physical examination and clinical breast examination was done. Necessary investigations were done to confirm the diagnosis, stage the disease and for definitive treatment. Fine needle aspiration cytology was done for all cases to confirm the diagnosis. Routine blood investigations, chest x-ray and ECG were done for all cases. Bilateral mammogram, liver function tests and ultrasound abdomen was done to stage the disease. The discussion part is about strategic incidence of breast cacer,age incidence, age at menarche, ageat first child birth,parity,menopausal stages, clinicalpresentations, side wise incidence, treatment modalities and follow up. The highest incidence of early breast cancer was between 41- 50 years. This indicates the necessity for screening the population with mammography for detection of breast cancer in early stages after the age of 40 years.93.9% of cases were diagnosed by FNAC. The commonest HPE type in early breast cancer was invasive ductal carcinoma.ER and PR positivity rates were more in post menopausal women 53.3%.when compared to pre menopausal women 27.7% indicating better prognosis in post menopausal women.

Keywords: Breast Cancer, menopausal, mammofraphy, ductal carcinoma.