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Volume 12 Issue 1 (January- March) 2023

Original Articles

The clinical presentation and Management of carcinoma breast outcome; a tertiary care hospital study experience
Dr. Sushanth P T, Dr. Suhas B S, Dr. Madhu R T, Dr. Pradeep Kumar J

Background: The aim of this study is to evaluate the clinical presentation and clinical stage at the time of presentation of breast cancer.In India, breast cancer is the second most common malignancy among women next to carcinoma cervix. Since it presents as a painless lump, patient often neglect and present to hospital late. As carcinoma of breast is a quite common clinical problem encountered in clinical practice, this study is an attempt to study clinical presentation modes of management of the diseaseMethods: We conducted a prospective study of50 patients who are admitted with a diagnosis of carcinoma breast were studied through history taking, clinical examination, relevant investigations depending on the stage of the disease. After completion the results were analyzed and are compared with other studies.Results:Total 50 confirmed cases of carcinoma breast were studied. Majority of patients belonging to age group 41-50 years(42%) with lump as major complaint at the time of presentation(78%). Disease in most patients was on left side (60%) and upper outer quadrant (78%). Majority of patients belong to stage II (84%) of the disease clinically. All patients treated with MRM and IDC-NST (72%) was the most common HPE subtype.Conclusions:In this series, the presentation is decade earlier than western series with an increase in incidence among age group 41-50 years. Majority of patients belongs to upper lower socioeconomic status. Most of the patients present with lump of size 2-5 cm in breast located in upper outer quadrant. Maximum number of cases were of infiltrating ductal carcinoma no specific type.The simple and effective methods of detecting the disease early like self-breast examination, clinical breast examination, FNAC should be made aware among the people for early detection and effective treatment of the disease.

 
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