Gul Mohammad, Aurang zeb, S. Humayun Shah


One hundred and twenty patients were treated for carcinoma of the breast at the
District Head Quarter Teaching Hospital, Abbottabad from 1984-1989. The age at diagnosis
appears to be bimodal with an early peak between 36 years and 40 years and a later peak
between 60 years and 66 years. As expected, these patients were of high parity (median 5) and
96% of them had breast fed for an average of 16 months, late presentation with advanced
systemic disease accounts for the dismal prognosis. Eighty-four percent of the patients
presented with late disease and only 16% with early disease. Of the 25 patients, followed upto
death, the median survival was 12 weeks. For various logistic reasons, long-term follow up
was not possible for the remaining patients. To improve the outcome of breast cancer in our
community an active educational programme is needed to increase the public awareness of
the significance of beast symptomatology.
Key words: breast cancer, late presentation.

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