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Title: Our experience with breast carcinoma in Sri Lankan women- a single unit experience.
Authors: Pinto, M. D. P.
Pathiraja, P. D. M.
Ariyarathne, M. H. J.
Keywords: Breast carcinoma
Issue Date: 2011
Publisher: The College of Surgeons of Sri Lanka
Citation: The Annual Sessions of the College of Surgeons of Sri Lanka .2011.p. 214.
Abstract: INTRODUCTION: Breast cancer is the most frequently diagnosed life-threatening cancer in women and the leading cause of cancer death among women worldwide. There is no national breast cancer screening programme yet in Sri Lanka. METHODOLOGY: A retrospective analysis of breast cancer registry from 1999 to 2010 at the University Surgical Unit NCTH, was carried out. Presentation, tumour site, practise of self-breast examination (SBE), histology and risk factors were assessed. RESULTS: Study sample consisted of 110 women (mean age =52.6 years). 40.9% presented with accidental finding of a breast lump, 20% with breast pain, 6% with nipple discharge and 74.5% had never practiced SBE. Those who did not practice SBE (77.2 % ) had either T3 or T4 disease. Majority of tumours appeared in the upper outer quadrant -59.1% (upper medial 19.1 % lower outer 16.4%. ) with tumour size varying from 2-5 cm in 54.5% ( 5-10 cm - 30.1% and < 2 cm - 10.1%). The infiltrating duct carcinoma (79.1%) invasive lobular carcinoma (7.3%) and duct carcinoma in situ (5.5%) are the commonest histological types. Fine needle aspiration (FNAC) revealed duct carcinoma in 83.1% women. They showed 16.4% nulliparous and 20% were taking oral contraceptive pills for more than 5 years. CONCLUSION: The study demonstrates that most common histological type was infiltrating duct carcinoma and FNAC has a satisfactory correlation with final pathological diagnosis. The women who did not practise SBE had advanced breast carcinoma. public awareness and improved screening will lead to early diagnosis.
Description: Poster Presentation Abstract (47),40th Annual Academic Sessions of the College of Surgeons of Sri Lanka jointly held with Federation of associations of Paediatric surgeons of SAARC countries and the royal college of surgeons of Edinburgh,24th -27th August 2011 Colombo, Sri Lanka.
Appears in Collections:Conference Papers

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