Method: Study design: A cross sectional study. Study setting: Department of surgery at tertiary care centre. Study duration: 3 Years. Study population: The study population included all Female patient of 18 years and above with a confirmed histological diagnosis of Breast Cancer with written informed consent such cases were included in the study. Sample size: 150.

Results: Majority of the patients presented in the 45-55 years age group i.e. 57 (38%) patients, followed by 39 (26%) patients in the above 55 years age group, 37 (24.66%) in the 35-44 years and 17 (11.33%) in the below 35 years age group. The mean age of patients in our study was 48.4 years with a range from 18-78 years. involvement of breast cancer was found to be more on the left side i.e. 83 (53.33%) cases compared to the right side i.e. 67 (44.66%) cases. the histology of majority of cases were invasive ductal carcinoma i.e. 147 (98%) patients. There were 2 (1.33%) patients with invasive lobular carcinoma and 1 (0.66%) patient with medullary carcinoma. The majority of [86 (57.33%)] patients, had grade II tumor at presentation, 44 (29.33%) patients had grade III tumor and 20 (13.33%) patients had grade I tumor at presentation. the mean duration of delay in (in days) in patients of >3 months delay was 130.6 days in primary delay, 77.65 days in secondary delay and 74.6 days in tertiary delay.

Conclusions: There is an urgent need to strengthen primary level care for all patients presenting with breast symptoms. Awareness about breast health in general and cancer in particular demands enhancement amongst Indian population. Need for universal education to achieve reduction in delay. Medical factors are also responsible for delays. There is a need to set up optimum time for diagnosis and treatment initiation in breast cancer. In India, there is a need to have well defined referral pattern. Reduction of delays in diagnosis and treatment may reduce the advance stage of cancer.

Keywords: Breast Cancer; Type of Delay; Histological Type; Factors of Delay

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Citation

Citation: Anurag Srivastava., et al. “Study of Factors Responsible for Delay in Diagnosis and Management of Breast Cancer Patients at a Tertiary Care Center Rural Medical College. A Cross Sectional Study". Acta Scientific Agriculture 4.11 (2023): 09-15.

Copyright

Copyright: © 2023 Anurag Srivastava., et al. 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.