Comparative study of Clinical and Pathological Parameters in North Indian and Central Iraqi Patients

Abdul Razzaq Neamah Zghair, Anil K. Sharma, Arkan Kassim, Yaqoub Yousif Ismail, Khairallh Al-Azzawi


Breast cancer is the most common cancer afflicting females
in many countries including middle eastern and asian
countries. Prognosis of breast carcinoma especially in
developing countries including India and Iraq is still poorly
understood which is mainly attributable to the late stage of
patient presentation rather than the behavior of the disease.
The main aim of this study was to assess the clinicopathological
presentation and demographic characteristics
of Indian and Iraqi breast cancer patients. Ninety one Iraqi
patients who were diagnosed as having breast cancer, and
whose age ranged from 30-72 years were included in the
study and further compared with 84 Indian patients for their
c linic o- pa tholog ic a l pa r ame te r s . The r e c or de d
demographic and clinico-pathological data were analyzed
statistically. The median ages of Iraqi and Indian breast
cancer patients in our study were 49.2 and 47.2
respectively. Family history of breast cancer was observed
in 24% of Iraqi patients under study. More than 90% of
patients were diagnosed with invasive ductal carcinoma (in
both groups studied). The most prevalent tumor size was T2
according to TNM staging in both groups of patients.
Axillary nodal involvement was reported in more than three
quarters of the studied population in both groups (80% and
84.6% for the Iraqi and Indian patients respectively).
Within the Iraqi group stage II was the commonest detected
stage at presentation versus stage III within the Indian group.
The commonest encountered histological grade was Grade
II (58% and 66.6% in the Iraqi and Indian group
respectively). The earlier stage at presentation within the
Iraqi and Indian group could point out to the early inputs of
initiating the National Program for Early Detection of Breast
Cancer in both the countries.

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