To determine frequency of distribution of breast carcinoma patients based on American Joint Committee on Cancer (AJCC) Staging of Breast Cancer (8th Edition)

A single center experience

Abstract

Objective: To determine frequency of distribution of breast carcinoma patients presenting to our centre based on American Joint Committee on Cancer (AJCC) staging system for breast cancer (8th edition).

Study design: Cross sectional

Study duration: 12 months (January 2019 to December 2019).

Study settings: Radiology Department Kuwait Teaching Hospital ,KPK.

Material and methods: A sample size of 164 patients was calculated by WHO, non-probability consecutive sampling was used. Ethical approval was taken from hospital. Consent forms were taken from all participants. Only biopsy proven case were included in our study. Patient having initial presentation and those coming for restaging after surgery/chemotherapy were included in study group. Data was analyzed using SPSS version 24.

Results: Total 164 breast cancer women were included in study. Mean age of patients was 45.6±1.7SD. Among all the patient 164(100%), 72(43.9%) had no lesion, 36(22%) had T1, 15(9.1%) had T2, 10(6.1%) had T3, 2(1.2%) had T4a and 29(17.7%) had T4b, 80(48.8%) had no lymph node, 55(33.5%) had N1, 9(5.5%) had N2, 2(1.2%) had N3a, 8(4.9%) had N3b, 10(6.1%) had N3c, 91(55.5%) had M0 and 73(44.5%) had M1.The lesions were further categorized into stage groups. Majority of patients were in stage IV ( 45.1% ).

Conclusion: Breast cancer is a common life threatening cancer in Pakistani Women. TNM classification is an effective classification system of breast cancer. Early diagnosis and multidisciplinary therapy leads to improvement of prognosis in breast cancer staging