Changing trend of Breast Cancer incidence in India

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Breast Cancer and the age wise distribution in India

This graph depicts the changing trend in the age wise distribution of breast cancer in our country. Over the years, the incidence of breast cancer has increases dramatically and there has been a higher increase in the incidence between 30-40 years of age. This is mainly attributable to the lifestyle changes visible in the Indian society. Another major factor, which is difficult to quantify is the increase in pollution levels.
It is important we realise this change and encourage patients to take corrective measure to control the modifiable risk factors like smoking, alcohol consumption, obesity. Also increased awareness is required, so that these cancers can be detected early.
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What is the colour of a doctor’s money??

It can be anything but black! It is basically made of two layers of sodium chloride. The first layer was prepared by the sweat of the medical school. The second was formed slowly after obtaining the so called degree. The denomination of this money is determined by the degree one obtains, slogging it out in a rat race, sometimes also missing out on how their kids grow up. If you are on the surgical side, it has some blood red patches here and there. A physicians’ money may have grey (matter) color sprinkled about. A colleague working in anesthesiology, intervention cardiology or emegency medicine have it soaked in adrenaline. There might be a few dots of yellow on some money. Believe me, no pathologist spills the sample intentionally! Also don’t blame any body if E. Coli grows on some money. So, my friends, a doctor’s money can never be black. And the most amazing thing is that he can keep it minting till Alzeihmer’s or Parkinson’s!

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Post shared from Dr. Deepak Arora – a motivational speaker and a dear friend.

 

 

Unique case of multiple ductal papillomatosis

31 year old  nulliparous lady presented with serous nipple discharge from right breast since 3 months. She had no co-morbid conditions and no family history of cancer.

o/e – she had serous nipple discharge from 3-4 ducts (3,8,10 o clock). There were no palpable lumps in either of the breasts or axillae.

Nipple discharge cytology as negative for malignancy

On USG a very interesting finding was observed – there were ductal papillomas seen in ducts present at 3,8 and 10 ‘o clock position and the 3’o clock duct showed multiple ductal papillomas (3 can be seen in the USG image)

 

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Considering the age of the patient, a decision was taken to carry out three microdochectomies and the HPE revealed benign papillomas in all ducts.

 

Reasons for highlighting this case:

  1. Ductal papillomas are the most common cause of bloody nipple discharge and they arise from the terminal duct lobular units. This patient presented with serous nipple discharge.
  2. Usually ductal papillomas are solitary. Only 10% of intra-ductal papillomas tend to be multiple. This patient had at least 4 papillomas on final HPE.
  3. Multiple papillomatosis are more frequently associated with hyperplasia, atypia, DCIS, sclerosing adenosis, and radial scar but in this case none of the findings were present.

 

 

 

Case by:

Dr. Rohan Khandelwal & Dr. Savita Chopra

Department of Breast Diseases & Cancer Care

W Pratiksha Hospital, Gurgaon

 

 

Excellent video to create Breast Cancer Awareness

One of my patient recently sent me this video created by Sunny Leone to spread Breast Cancer awareness and I feel it is an excellent initiative taken by her against this deadly disease, whose incidence is rapidly rising in our country.

 

 

I personally feel that celebrities have a huge role to play in creating awareness regarding health issues like cancer and more and more should come forward with initiatives like these.