Weerarathna Induni Nayodhara, Luharia Anurag, Uke Ashish, Mishra Gaurav
Department of Biomedical Sciences, School of Allied Health Sciences, Datta Meghe Institute of Higher Education and Research 442001, Wardha, Maharashtra, India.
Department of Radio Physicist and Radio Safety, Datta Meghe Institute of Higher Education and Research 442001, Wardha, Maharashtra, India.
Int J Breast Cancer. 2024 Nov 28;2024:6845966. doi: 10.1155/ijbc/6845966. eCollection 2024.
The intricate terrain of breast cancer (BC) in India is examined in this review, which also looks at screening techniques, geographical differences, epidemiological trends, and obstacles to early diagnosis. BC has a major impact in India, especially on women. The research examines data from 2014 to 2024 and finds that, although overall cancer rates are declining, there has been a noticeable increase in BC cases. While obstacles including late-stage diagnosis and restricted access to treatment contribute to lower survival rates in India compared to Western countries, regional variations underscore the need for customized screening measures. The analysis of screening methods highlights the particular difficulties that Indian women encounter, such as the limitations of mammography in a country whose breast density is higher. The review presents cutting-edge technologies like breast exams and computer-aided detection and examines alternative techniques like ultrasonography. The importance of healthcare spending on screening uptake is highlighted by the regional inequality discussion, and mobile screening camps have emerged as a workable way to get around access and cost issues. The relevance of patient education and awareness in the Indian context is emphasized in the review's conclusion. The lack of adequate health resources and sociocultural obstacles, such as the fear of cancer, highlight the necessity of early detection campaigns and thorough education programs. With a knowledge of the difficulties and achievements in BC screening procedures, this narrative review hopes to make a significant contribution to the larger conversation about managing BC in the particular setting of India.
本综述研究了印度乳腺癌(BC)的复杂情况,还探讨了筛查技术、地理差异、流行病学趋势以及早期诊断的障碍。乳腺癌在印度影响重大,尤其是对女性。该研究分析了2014年至2024年的数据,发现尽管总体癌症发病率在下降,但乳腺癌病例有显著增加。与西方国家相比,包括晚期诊断和治疗机会有限等障碍导致印度的生存率较低,而地区差异凸显了定制筛查措施的必要性。对筛查方法的分析突出了印度女性面临的特殊困难,比如在一个乳房密度较高的国家,乳腺钼靶检查存在局限性。该综述介绍了乳房检查和计算机辅助检测等前沿技术,并探讨了超声检查等替代技术。地区不平等的讨论强调了医疗保健支出对筛查普及的重要性,流动筛查营已成为解决获取和成本问题的可行方式。综述结论强调了患者教育和意识在印度背景下的相关性。缺乏足够的卫生资源以及社会文化障碍,如对癌症的恐惧,凸显了早期检测活动和全面教育计划的必要性。通过了解乳腺癌筛查程序中的困难和成果,本叙述性综述希望为在印度特定背景下管理乳腺癌的更大讨论做出重大贡献。