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Breast conservation surgery & oncoplasty in India - Current scenario
Vani Parmar1, Chaitanyanand B Koppiker2, Santosh Dixit3
1Division of Breast Surgical Oncology, Department of Surgical Oncology, Advanced Centre for Treatment Research & Education in Cancer, Tata Memorial Centre, and Homi Bhabha National Institute, Navi Mumbai, India.
Breast cancer rates are increasing globally and in India. Surgical interventions lag behind other advances due to late detection and patient/surgeon apprehension regarding de-escalation, hindering optimal breast cancer care.
Area of Science:
- Oncology
- Surgical Oncology
- Public Health
Background:
- Breast cancer incidence is rising globally, including in India.
- Surgical interventions for breast cancer in India have not advanced at the same pace as in developed nations.
- Late detection and lack of awareness contribute to apprehension regarding surgical de-escalation.
Purpose of the Study:
- To examine the current landscape of breast cancer surgical practices in India.
- To review available evidence on the practices and challenges in breast cancer surgery.
- To propose solutions for improving surgical care for breast cancer patients in India.
Main Methods:
- Review of current literature and practices in Indian breast cancer surgery.
- Analysis of factors contributing to the slow adoption of surgical de-escalation.
- Identification of potential strategies to advance surgical care.
Main Results:
- Surgical interventions are not evolving as rapidly as other cancer care aspects in India.
- Late-stage diagnosis and patient/surgeon hesitancy impede the adoption of less invasive surgical options.
- There is a need for greater awareness and evidence-based acceptance of de-escalated surgical approaches.
Conclusions:
- Advancing breast cancer surgical care in India requires addressing late detection and apprehension.
- Promoting awareness and evidence-based de-escalation strategies are crucial for improving patient outcomes.
- A multi-faceted approach involving surgeons, patients, and public health initiatives is needed.
