Uma, M (2013) A Study on relationship between Educational and Socioeconomic status and early diagnosis of Carcinoma Breast in females. Masters thesis, Madurai Medical College, Madurai.
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Abstract
INTRODUCTION: Breast Cancer is the most common site specific cancer in women and is the leading cause of death from cancer in women age around 22-59 yrs. It accounts for 26% of all newly diagnosed cancers in females and is responsible for 15% of cancer related deaths in females. The incidence of breast cancer varies in different countries in the world. Women residing in industrialized countries tend to have higher incidence than women residing in less industrialized countries. Breast Cancer distribution differs by geography, regional lifestyle, racial or ethnic background. In general both breast cancer incidence and mortality are relatively lower among the female populations of Asia and Africa, relatively underdeveloped nations, and nations that have not changed to the westernized reproductive and dietary patterns. In contrast, European and North American women from heavily industrialized or westernized countries have a substantially higher incidence of breast cancer. AIMS & OBJECTIVES OF THE STUDY: 1. To analyze the relationship between socio economic and educational status and early diagnosis of CA Breast. 2. To emphasize the need for early detection of breast cancer. MATERIALS AND METHODS: This study was carried out in 150 patients who were admitted in the department of general surgery, Government Rajaji Hospital, Madurai during the period from January 2011 to December 2012. This Study which was undertaken was a prospective case series study and was started after getting due clearance from the institute of ethical committee, Government Rajaji Hospital, Madurai Medical College. Patients were included in this study after getting their informed written consent and they were assured that information obtained from them will be kept confidential. Inclusion Criteria for patients in this study consist of patient of any age presenting with the lesion suspected of breast carcinoma and proved by FNAC and TRU-CUT biopsy and all relevant investigations to stage the disease like chest X-ray, ultrasound abdomen, liver function test, mammography and skeletal survey done for advanced cases to rule out metastasis. Patients excluded where those who presented with symptoms of breast on clinical examination but on investigation there was no malignant pathology of breast and male patients with breast carcinoma excluded. CONCLUSION: In our study among 150 patients 34% presented in early stage and 66% presented in late stage. Among the patients who presented in early stage : • 15.2% belonged to Illiterate, • 62.5% belonged to patients educated upto primary level, • 70% of patients educated upto secondary level. In remaining 66% who presented in advanced stage of cancer : • 84.8% were Illiterate, • 37.5% were primarily educated, • 30% were secondarily educated. In 150 patients,30.7% of low socioeconomic status and 80% of Patients belonging to middle class presented in early stage(stage I and II)and remaining 69.3% of low socioeconomic status and 20%belonging to middle class presented in late stage (stage III and IV). Patient of about 32.7% who presented before 6 months of initiation of symptom were found in early stage I and IIand patients of about 67.3% who presented after 6 months of initiation of symptom were found in late stage (stage III and IV). About 62.5% of patients with primary education,70% of secondary education and 13.4% of illiterate patient presented before 6 months and were found in early stage I and II. and remaining 84.7% of illiterate,37.5% of primary education and 30% of secondary education presented after 6 months and found to be in stage III and IV. Only 29.2% of low socioeconomic status but 90% of middle class presented before 6 months and were found in stage I and II. Remaining 70% of low socioeconomic status and 10% of middle class presented after 6 months of initiation of symptom were found in stage III and IV. In Our Study Patients who were educated upto primary and secondary level with middle income presented in early stage of breast cancer than patients who were illiterate with low socioeconomic status. Majority of the patients belonging to low socioeconomic and illiterate group presented in advanced stage of breast cancer due to patient’s negligence and lack of awareness about breast cancer. Delayed presentation of female breast cancer has a strong and significant attribution to patient delay which will definitely have a worse impact on stage of breast cancer.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Educational and Socioeconomic status, early diagnosis, Carcinoma Breast, females. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Devi S |
| Date Deposited: | 02 Jun 2018 16:38 |
| Last Modified: | 26 Mar 2020 02:31 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8115 |
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