Review of Country Specific Evidence to Strengthen Early Detection of Breast Cancers in Sri Lanka Dr. Suraj Perera MBBS, MSc, MD Consultant Community Physician.

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Presentation transcript:

Review of Country Specific Evidence to Strengthen Early Detection of Breast Cancers in Sri Lanka Dr. Suraj Perera MBBS, MSc, MD Consultant Community Physician National Cancer Control Programme Ministry of Health Sri Lanka

Data coding & classification

Surveillance of Cancers Cancer Incidence Data Available on line at

Incidence of all cancers in Sri Lanka YearNo.Crude incidence rate (per 100,000 population)

Incidence of Breast Cancers among Females (1985 – 2000) YearIncidence of Breast Cancers Among Females No. newly diagnosed % out of all female cancers Relative Rank among Female Cancers % % % % % % % % %1

Leading cancer sites (Females) SiteNo.Crude rateAge standardized rate Breast Cervix uteri Ovary Thyroid Oesophagus Lip, oral cavity & pharynx Colon & rectum Leukaemia Lymphoma Uterus2372.4

Leading cancer sites – Females (2005)

Crude Incidence Rate of Breast Cancer

Breast cancer incidence by district, Sri Lanka – 2005

Morphology of Female Breast Cancers ( ) Histology Type No% Infiltrating ductal carcinoma % Lobular carcinoma % Non infiltrating intraductal carcinoma 6 Infiltrating duct & lobular carcinoma 7 Medullary carcinoma 59 Inflammatory carcinoma (Paget disease) 16 Sarcoma 21 Lymphoma 4 Melanoma 2 Phyllodes tumour 50 Others (including unclassified) % Total 9688

Research Evidence - Breast Cancer Epidemiology Retrospective analytical study –Breast Cancer Patients presented to the Professorial Surgical Unit, NCTH 2000 – 2010 Results 134 patients 67% above 50 years (mean age 52 years) 75% patients detected lump accidentally 20% patients detected due to pain 9.7% did breast self examination 58% delay in seeking treatment > 3 months 50.7% locally advanced breast cancer (Bandara DMSM, Ariyarathna MHJ ‘Delay in diagnosing female breast cancer’ Ceylon Medical Journal, Vol 55 Supplement 1, June 2010, pp 66)

8/26/2015 Early Detection Strategies of Breast Cancer

8/26/2015

THANK YOU National Cancer Control Programme Ministry of Health 555/5, Ground Floor Public Health Complex Elvitigala Mawatha Narahenpita Colombo 5 Tel No E mail