Lowell Lyttleton Lewis*

Montserrat Institute of Education and Surgical Research, Montserrat

*Corresponding Author: Lowell Lyttleton Lewis, Montserrat Institute of Education and Surgical Research, Montserrat.

Received: September 01, 2021; Published: November 17, 2021

Abstract

This paper shares the 40 years experience of a consultant general surgeon working in the Caribbean.

More efficient use of resources and a more aggressive approach to detection and prevention is required, to reverse what appears to be a worsening epidemic of breast cancer disease.

World wide, 10% of all women are expected to develop breast cancer.

In Barbados for the period 1991 to 1995, the incidence was 1 per 1000 women per year, and the mortality, 1 per 2500 women per year. The under 45 age group accounted for 24% of patients and 21% of deaths. The 45 to 65 age group for 35% of patients and 36% of deaths, and the over 65 age group for 41% of patients and 43% of deaths.

A reduction of the mean age at which diagnosis is made reflects either earlier detection of cases or earlier penetrance of the carcinoma gene, and an increase in the difference between mean age for diagnosis and the mean age of death, reflects improving survival rates.

The complications of breast surgery are related to surgical technique.

Poorly designed flaps which are too thin or thick compromise healing, cosmetic appearance, and local recurrence rates

In summary, breast cancer continues to be a major health concern which requires new innovative approaches to reduce the mortality, morbidity and the economic cost of patients.

Keywords: Capacity; Nursing; Vietnam

Citation

Citation: Lowell Lyttleton Lewis. “Breast Cancer Management in Remote Communities. 30 Years on". Acta Scientific Clinical Case Reports 2.12 (2021): 25-28.

Copyright

Copyright: © 2021 Lowell Lyttleton Lewis. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.