Volume 20 No 22 (2022)
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Reluctance To Accept Breast Conservation Surgery For Early Breast Cancers In Tribal Women Of Northern Maharashtra – A Cross Sectional Study
Dr. Nitin M Baste, Dr. Rahul S Shelke, Dr. Vinod Patil, Dr. Shreedhar Radhakrishna
Introduction: Breast cancer management involves either modified radical mastectomy (MRM) or breast conservation surgery (BCS) as the primary treatment modality followed by adjuvant treatments based on pathological characteristics. Breast conservation surgery (BCS) has now become the evidence-based standard of care globally in early breast cancer and also is being offered in some select suitable cases in locally advanced and large operable breast cancer after down-sizing with neo-adjuvant systemic therapy Objective –To evaluate in detail the reasons of tribal women not accepting breast conservation surgery for early malignant breast cancers and how it can be considered as a treatment option and made acceptable to them. Materials & Methods – A cross sectional study was conducted in a Rural Tertiary Care Medical College & Hospital in Northern Maharashtra in 102 Tribal Patients who underwent Modified Radical Mastectomy from 2018 to 2021. Total of 63 patients from Tribal Districts. The reasons for reluctance of the patients for BCS were studied and listed. Results- The reasons of 63 tribal women patients not accepting breast conservation surgery for early malignant breast cancers. No patient was willing to undergo Radiation therapy postoperatively after Breast conservation surgery and all patients shown Tribal society still considers cancer as a social stigma. Conclusion:BCS as a surgical technique has revolutionized the surgical treatment of early breast cancer. BCS has not only provided an acceptable oncological outcome, but has diminished the psychological burden. It is therefore important for the physician to educate patients about the treatments.
Breast Cancer, Breast Conserving Therapy (BCS), Tribal Women
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