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The Indian scene.

R Chopra1

  • 1Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, India. veenuc@hotmail.com

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
|September 19, 2001
PubMed
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Breast cancer is a significant health concern for Indian women, with over 75,000 new cases annually. Treatment approaches for locally advanced breast cancer vary widely across India, from basic procedures to internationally aligned protocols.

Area of Science:

  • Oncology
  • Public Health

Background:

  • Breast cancer is the second most common cancer in Indian women, with approximately 75,000 new cases yearly.
  • Locally advanced breast cancer represents a substantial proportion (50-70%) of cases presenting for treatment in India.
  • Existing cancer registries cover only a small fraction (3%) of the Indian population, potentially underestimating the true incidence.

Purpose of the Study:

  • To highlight the disparities in breast cancer management across different healthcare settings in India.
  • To describe the varying treatment modalities for locally advanced breast cancer based on available hospital resources.

Main Methods:

  • This study is a review of current breast cancer management practices in India.
  • It analyzes treatment variations between peripheral and metropolitan/specialized cancer institutions.

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Main Results:

  • Treatment for locally advanced breast cancer is inconsistent across India.
  • Peripheral hospitals often provide radical mastectomy with or without radiotherapy.
  • Metropolitan and specialized centers follow international standards, including modified radical mastectomy, radiation, and chemotherapy.

Conclusions:

  • There is a significant disparity in breast cancer treatment protocols within India.
  • Standardizing care and improving access to advanced treatments in all regions is crucial for better patient outcomes.