Background: Bangladesh is facing a high burden of breast cancer disease. It is the 2nd leading cause of cancer death after cervical cancer. Delay in seeking treatment contributes in breast cancer patients’ presentation at the tertiary hospitals when cancer is at an advanced stage and leads to poor prognosis. Late presentation with advanced stage is the common feature of breast cancer patients of Bangladesh. Objectives: The main objective of this study is to explore factors associated with delay in seeking cancer treatment among breast cancer patients at a tertiary care Hospital. Methods: Cross sectional observational study was conducted in the Department of Surgery Rangpur Medical College Hospital, Rangpur from January 2013 to December 2014. Patients who admitted to surgery ward and fulfill inclusion criteria during our study period was included in this study. Sixty two patients with carcinoma breast were included in this study. Thorough search for personal information and reasons behind delayed presentation was made from the patients. Information regarding tumor stage at time of diagnosis was extracted from hospital records and involved pathologic and clinical data. The data was collected in a pre designed data collection sheet. Correlation between personal and social factors and delayed presentation were made to find out the factors responsible for delayed presentation. Results: 36% patients came within 3 months of noticing the lump in breast and 64% delayed more than 3 months. Among 62 patients 76% were from low socioeconomic class, 62% had no formal primary education and 74% took initial treatment from Homeopath and traditional healer. Significant association was found with these patient related factors and delayed presentation. Association was also found between delayed presentation and advanced stage of disease. Conclusion: The findings suggest that 64% women with breast cancer presented late and have significant effect on their disease prognosis. There is a great impact of patient factors (personal and social) on delayed presentation. To reduce patient delay community awareness, health education programs regarding breast cancer should be implemented for target women who are at higher risk of delay.
Carcinoma of cervix is the most common cancer in Indian women and accounts for 20% of all malignant tumours in the females. Squamous cell carcinomas (SCC) account for 75-80%, adenocarcinoma 15-25%, and adenosquamous carcinomas 3-5% of cervical cancers.
Objectives: To study histopathology of carcinoma of cervix and to find out the incidence rate, most common type of the carcinoma of cervix and to find out age predilection in various types of carcinoma of cervix.
Material and Method: This study was undertaken in the department of pathology over a period of 2 years from May 2010 to April 2012. All Hysterectomy specimens and cervical biopsies were processed routinely and paraffin sections were taken and stained with Haematoxylin and Eosin (H&E) for microscopic examination. Tumours of the cervix were classified and studied according to WHO classification.
Results: The most frequent condition diagnosed on cervical biopsies and hysterectomy specimens were benign cervical polyp (66.3%), followed by carcinoma (23.7%) and squamous intraepithelial lesion (0.2%). Out of all benign cervical polyps, occurrence of adenomatous polyp was highest. Incidence of squamous cell carcinoma (19.6%) was more as compared to adenocarcinoma (3.7%). The mean age of the squamous cell carcinoma, adenocarcinoma, squamous intraepithelial lesion and benign cervical polyp was 49.1 years, 43.5 years, 47.7 years and 44.6 years respectively.
Conclusion: Incidence of squamous cell carcinoma was more as compared to adenocarcinoma. Occurrence of malignant lesions was earlier during 4th decade as compared to benign cervical lesions.