Breast Self Examination: To Do or Not To Do?
Breast Self Examination: To Do or Not To Do?
Abstract
This is a retrospective descriptive study done to look at common presentation and method of detection of breast cancer. A total of 366 case records of patients attending the Breast and Endocrine Clinic at Hospital Kuala Lumpur were reviewed. The peak age of breast cancer presentation was 40 to 49 years (39.6%). Most (81.4%) patients presented with a lump in the breast and the lump was mainly self-detected (97.3%). The mean tumour diameter on presentation was 4.7±3 cm. Medical staff detected the disease in 1.6% cases and 1.1% of cases were detected by mammogram. Most women detected the lump themselves, suggesting that Breast Self Examination (BSE) can be used for detection of the disease in places where there is cost and availability constrains for mammogram. Early detection with BSE can possibly offer better treatment options and quality of life despite the evidence that it does not reduce the mortality due to breast cancer.
Keywords :
Breast cancer,
Breast Self Examination (BSE).,
Abstrak
Ini adalah satu kajian retrospektif untuk melihat presentasi kanser payudara dan cara ianya dikesan dikalangan pesakit di Hospital Kuala Lumpur. Sebanyak 366 rekod pesakit dari Klinik Endokrin dan Payudara dianalisa. Hasil kajian menunjukan kebanyakan pesakit adalah dalam lingkungan umur 40-49 tahun (39.6%). Sebanyak 81.4% pesakit menunjukkan ketulan pada payudara dan mengesan ketulan ini sendiri (97.3%). Diameter min tumor semasa presentasi adalah 4.7±3 cm.Sebanyak 1.6% penyakit di kesan oleh kakitangan perubatan dan 1.1% lagi dikesan melalui mamogram. Kesimpulannya, kebanyakan pesakit mengesan ketulan pada payudara mereka sendiri. Ini mencadangkan bahawa kaedah pemeriksaan sendiri payudara boleh digunakan sebagai saringan untuk mengesan tanda-tanda awal kanser payudara, sekiranya kemudahan mamogram tidak ada. Pengesanan awal melalui pemeriksaan sendiri dapat menawarkan pilihan rawatan dan kualiti hidup yang lebih baik sungguhpun terdapat bukti yang menyatakan bahawa kaedah ini tidak dapat mengurangkan mortaliti kanser payudara.
Kata Kunci :
Kanser payudara,
peperiksaan sendiri payudara,
Correspondance Address
Leelavathi Muthupalaniappen, Department of Family Medicine, Medical Faculty, Hospital University Kebangsaan Malaysia (HUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur.
Email: drleela@mail.hukm.ukm.my
