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THE TIMES OF INDIA, BANGALORE
TUESDAY, OCTOBER 18, 2011
TIMES CITY
31.4% of city patients suffer
Breast cancer in urban India
nearly doubles in 24 years
Kounteya Sinha | TNN
B
reast cancer cases are spiralling
the world over, and urban India
is no exception. A recent landmark analysis of cancer cases
among women in Delhi, Mumbai,
Chennai and Bangalore from 1982 to 2005,
conducted by the Indian Council of Medical Research (ICMR) , shows that incidence
of breast cancer has nearly doubled in metropolitan cities. On the other hand, cases
of cervical cancer, which is the most common form of cancer among Indian women,
is dipping—in some cities by almost 50%
(See box for rise in incidence).
India’s National Health Profile 2010 predicts that by 2020, breast cancer will overtake cervical cancer as the most common
type of cancer among women in India.
According to Dr Rajni Mutneja, head of
preventive oncology at Rajiv Gandhi Cancer Institute, Delhi, almost 1 in 20 women
in metropolitan cities are suffering from
breast cancer. “Cases have almost doubled
in the last decade, and nearly half of the
patients come to us at the final stage when
curing it is difficult,” he said.
A health ministry official said: “Till a
decade ago, breast cancer was diagnosed in
around 10 per 1
lakh women
every year. Now,
it has more
October is Breast Cancer
than doubled to
Awareness Month. Let’s
Pink is a movement to raise
23 per 1 lakh
awareness on the disease
women.
In
and its prevention
cities like Chennai, the figures are troubling with the breast
cancer ratio as high as 1:33.”
TOI also looked at the 10 leading types of
cancer that women in cities suffered from
between 2006 and 2008, and found that breast
cancer accounted for the highest percentage
in each city. In Mumbai, 30% of cancer cases among women were that of the breast; in
Delhi and Bangalore it was almost 26.9%
while the incidence in Chennai was marginally lower at 26.5%. In Kolkata, it accounted for 27.2% of cancer cases among
women and in Pune it was 28.9%.
ICMR has also come out with the “possibility of one in number of people developing cancer of any site” score. The calculation is age specific — 0-64 and 0-74 years.
In Mumbai and Kolkata, 1 in 14 women runs
the risk of developing cancer before they
reach 64 years (See Risk Factor). Director
general of ICMR Dr V M Katoch said certain anatomical sites of cancer have shown
a significantly steady increase across all registries, breast cancer being one of them.
“This data will tell us how we can improve
diagnostic capabilities,” he said.
Let’s Pink is a joint initiative by
The Times of India and Ponds. This is the
first in a series of 7 articles on breast cancer
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Urbanization, Change In Diet,
Lifestyle Are The Main Causes
Photo for representation only
Make Time For Yourself
You can get a preliminary breast examination done for free
from any of these doctors between October 18 and 24
AREA
DOCTOR
1. Dr M H Marigowda Rd Dr K C Lakshmaiah
Kidwai Hospital
CONTACT NOS
9448055949
2. BSK III Stage
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08026724188
3. Promenade Road
Dr Syed Altaf
Speciality Clinic
08025302655
9448136329
Dr K Shobha
Speciality Clinic
9845880095
5. Dr M H Marigowda Rd Dr D Lokanath
Kidwai Hospital
8026094000
6. Dr M H Marigowda Rd Dr Siddanna R Pallad
Kidwai Hospital
9980666727
7. Bannerghatta Road
--
4. Promenade Road
PERILS OF URBANIZATION
Dr Ganesha Dev Vashishta
8. Sampangi Ram Nagar Dr Radheshyam Naik
Healthcare Global Hospital
9731310682
9. Sampangi Ram Nagar Dr C T Sateesh
Healthcare Global Hospital
8095856088
10.Dr M H Marigowda Rd Dr K P R Pramod
Kidwai Hospital
08026094042
9886947281
Hetal Vyas | TNN
Bangalore: The Indian Council of Medical Research
(ICMR) has predicted there
will be around 1.5 million cancer patients in India by 2015,
and most of them will suffer
from breast cancer.
Of 100 women with various
cancers in Bangalore, 31.4%
suffer from breast cancer. It
has overtaken the number of
cervical cancer cases, which
initially affected a majority of
women patients.
As per ICMR figures (the
last such study was done in
2008), the disease is on the rise
at the rate of 3% every year. A
decade ago, the figure in Bangalore was 16%, while it is
31.4% today.
“Approximately 2.5 lakh
women with breast cancer are
examined in India every year,
of which at least 1 lakh are
fresh cases. The reasons are
urbanization, industrialization, changed lifestyle, unhealthy diet and other factors
which lead to hormonal imbalance,” said Dr Anthony
Pais, head of the Breast Cancer Unit and Women’s Oncology department, Mazumdar
Shaw Cancer Centre at
Narayana Hrudayalaya.
Unfortunately, in India most
women wait for the symptom
of pain. “The average age for
a woman to be diagnosed with
breast cancer is about 47 years.
There is a need to start checking once a woman touches 40.
In 98% of the cases, the lump
is painless, which is more dangerous,” said Dr Pais.
Says Dr B S Ajaikumar,
chairman, HCG Cancer Hospital: “The primary reason for
contracting breast cancer is
change in diet and lifestyle. Passive smoking can also lead to
it. The rate at which breast cancer cases are rising, it can be
considered a chronic disease.”
Oncologists say there is a
need to spread awareness. “In-
Spiralling Incidence
An analysis of cancer cases among women in Delhi, Mumbai, Chennai and Bangalore
from 1982 to 2005 shows the incidence of breast cancer has nearly doubled in
metropolitan cities. The figures below represent incidence per 1 lakh women in %
33.5
32.3
CHENNAI
BANGALORE
15.8
1982 2005
32.2
DELHI
24.8
30
MUMBAI
18.4
1982 2005
1982 2005
20.8
1982 2005
PREDICTION | India's National Health Profile 2010 predicts that by 2020,
breast cancer will affect 1.24 lakh women across India
84,000
87,000
90,000
1.06L
1.24L
2020
2015
2010
2009
2008
Risk Factor
DELHI | 1 in 11 women run the risk of cancer by
the time they are 64 years. (11 in 8 by 74 years)
MUMBAI | 1 in 14 women run the risk before
64. ( 1 in 9 by 74 years)
KOLKATA | 1 in 14 women may get cancer
before 64 years. (11 in 10 by 74 years)
CHENNAI | 1 in 12 women are at risk
reaching 64 years (11 in 8 by 74 years)
BANGALORE |11 in 10 women may get
Source: ICMR
cancer by 64 years, (11 in 7 by 74 years)
GROWING NUMBERS
FIGHTING THE DISEASE
● USA has one breast cancer
Spreading awareness
about breast cancer is the
best way to fight it,
especially in India, where
rural women are still shy to
visit a doctor to discuss their
problems. In western
countries, cancer check-ups
are mandatory every six
months. In our country, it is
optional because the
government is not very
aggressive about promoting
healthcare facilities.
Niti Raizada Narang | MEDICAL
ONCOLOGIST, VIKRAM HOSPITAL
patient in every nine cancer
patients; in India, there is one
in every 22
● Delhi leads with one breast
cancer case in every 17 cases
● Bangalore is close behind
with one breast cancer case
in 20 patients
● Doctors predict that
Bangalore will be the breast
cancer capital in 4-5 years,
with 15 to 16 cases
FIGURES IN INDIA
(Per 1 lakh population)
Bangalore
36.1
Thiruvananthapuram 33.0
Mumbai
32.3
Delhi
32.3
Chennai
31.5
Kolkata
25.5
Source: Population Based Cancer Registries 2006-2008, ICMR study
dian women are still shy of discussing their problem, which
is why most of them learn
about the cancer only when it
has spread and reached an advanced stage,” said Dr Pais.
Hormonal imbalance and
heredity also cause breast cancer. “Nowadays, girls attain puberty early and women reach
menopause in their late 40s.
This happens due to change in
lifestyle and food habits which
create hormonal imbalance,
and is passed on to the next
generation,” said Dr Linu John
Abraham, consultant medical
oncologist, Fortis Hospital.
CASE STUDIES
● Kamakshi Natarajan (name
changed), a software engineer,
was just 26 when she was diagnosed with breast cancer about
a year ago. She visited a hospital after noticing a slight but
constant pain in her left breast,
which was diagnosed as a cancerous lump. A second examination showed up a lump in her
t w a s n t e 7 ctUng
hc ç t6say ’ yc S ‘th p
j t/ t LL sn ’t.
f l u
It took flowers , chocoLates , candlelight dinners , repeated assurances
and several
several, proposals on bended knee before she finally said yes ’.
And it’s going to take you about the same effort plus countless
reminders before
before she
she re
reluctantly
uctantiy agrees to go for that breast check-up.
reminders
But when you married her, you vowed to take care of her forever.
So ensure that she does one regu
regularly
r y to rule
ru’e out cance r or detect it earLy.
SMS * LETSPINK to 53636 to pledge your support. For details of free
preliminary breast check-ups , visit facebook.com /pondsindia
et’s Pink
p
P1 POND’S
*R s , 3 per SMS of which Re. 1 wi l L be donated on your behalf to The Indian Cancer Society.
M mitiativc
S
wthTHE TIMES OF INDIA
Every woman, especially
those with a family history of
cancer, should undergo a
mammography once a year,
breast examination every
two months and clinical
examination of breasts once
every six months.
Suresh Babu | CONSULTANT
MEDICAL ONCOLOGIST, BGS HOSPITAL
Chances of survival in the
first or second stages are
very bright. If diagnosed on
time, women in an advanced
stage of breast cancer can
live for 5-8 years and with
good care, even 10 years.
Ajaikumar
right breast. Luckily for her, it
was still in the first stage. She
underwent various treatments,
including breast implantation
and reconstruction for over
eight months, and has now completely recovered.
● Sudha Joshi (name changed), 48, got a rude shock 18
months ago, when she went for
a routine check-up to a city hospital. The doctors detected cancer tissues in her left breast:
the lump was less than 1cm in
diameter, and was difficult to
locate. Doctors suggested that
Sudha undergo radioimmunoguided surgery. Sudha was
cured without undergoing
chemotherapy or radiation.
`