Jha A K, Hamal P K, Jha J, Banthia P, Thakali K, Basnet B K
BP Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal.
JNMA J Nepal Med Assoc. 2010 Jan-Mar;49(177):1-5.
Breast Cancer is the second commonest cause of cancer death in women. Almost all women survive breast cancer if it is detected before it starts to spread. The aim of the study is to analyze the demographical profile, stage of presentation, histological type, and treatment modalities of breast cancer in a tertiary care setting.
Total 1141 cases of breast cancer had been followed retrospectively from 1999 to 2006 A.D. in a tertiary care center and their patterns were analyzed.
The mean age of presentation of breast cancer was 47.30 +/- 11.57 years in female and 59.03 +/- 14.63 in male, 31 (2.1%) cases of breast cancer were male. There were 123 (10.78%) stage I, 281 (24.62%) stage II, 466 (40.84%) stage III, and 271 (23.75%) stage IV patients. Infiltrating ductal carcinoma was the commonest variety 610 (53.5%). Chemotherapy was the mainstay for treatment of breast cancer 341 (29.9%) followed by surgery 287 (25.2%).
Breast cancer trend is rising with more in late and advanced stages, mostly due to lack of awareness. Infiltrating ductal carcinoma is the commonest variety. Chemotherapy is the most commonly used modality of treatment. Male breast cancer present late and is not so uncommon.
乳腺癌是女性癌症死亡的第二大常见原因。如果在乳腺癌开始扩散之前被检测到，几乎所有女性都能存活。本研究的目的是分析三级医疗机构中乳腺癌的人口统计学特征、就诊阶段、组织学类型和治疗方式。
对一家三级医疗机构1999年至2006年期间回顾性随访的1141例乳腺癌病例及其模式进行了分析。
女性乳腺癌患者的平均就诊年龄为47.30±11.57岁，男性为59.03±14.63岁，31例（2.1%）乳腺癌患者为男性。有123例（10.78%）处于I期，281例（24.62%）处于II期，466例（40.84%）处于III期，271例（23.75%）处于IV期。浸润性导管癌是最常见的类型，有610例（53.5%）。化疗是乳腺癌治疗的主要方式，有341例（29.9%），其次是手术，有287例（25.2%）。
乳腺癌的发病趋势呈上升态势，晚期和进展期病例增多，主要原因是缺乏认识。浸润性导管癌是最常见的类型。化疗是最常用的治疗方式。男性乳腺癌就诊时病情较晚，且并不罕见。
