Breast cancer is the most common cancer amongst women worldwide. Mastectomy leads to a perceived loss of attractiveness and psycho sexual problems. Over the years, increased awareness, improved screening and better therapies have resulted in a considerable decline in mortality, hence women live longer with the physical and psychological trauma of mastectomy. Breast reconstruction is an integral part of breast cancer treatment. However, this is not the case in India where survival itself take precedence over quality of life.
A prospective cohort study was designed including all outpatients and inpatients, over 18 years of age, diagnosed with breast cancer who consented to participate in the study.
A total of 485 patients were interviewed during the study with a mean age of 47 years, ranging from 18 to 82 years. Amongst these, 26%(126) were illiterate, 55% (266) received minimum secondary level education, only 42 (9%) were working. Majority, 42% (202) of our patients belonged to lower and upper lower socioeconomic status. We found that 15% (71) of our patients were aware about available breast reconstruction options. The most common source of information was the internet. Awareness regarding breast reconstruction was influenced positively by the education status, socio-economic status and profession of the patient (p
Breast oncoplasty awareness is poor in India and is affected by literacy, marriage, professional and socioeconomic status. If made aware, patients tend to opt in for breast reconstruction. In skilled hands, this has excellent cosmetic and psychological satisfaction outcome.
Clinical trial identification
Legal entity responsible for the study
Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
All authors have declared no conflicts of interest.