Breast cancer cases surge as cervical dips – Times of India

New Delhi: The good news: Fewer women in India now suffer from cervical cancer – who are counted among the worst killers. Bad news: Breast cancer cases have increased alarmingly across the country.
Historical analysis of cancer cases in Delhi, Mumbai, Chennai and Bangalore between 1982–2005 (24 years) by the Indian Council of Medical Research (ICMR) found that while there has been a decline in cases of cervical cancer, in some cases There has been a decline of about 50%. Breast cancer cases doubled and, the trends contained in ICMR’s just-released report Time Trends in Cancer Incidence Rates (1982–2005), were universal in all four cities.

Cervical cancer cases decreased like this: In 1982, Bangalore recorded 32.4 new cases of cervical cancer in women per 100,000 population every year. The number fell to 27.2 in 1991, 17 in 2001 and 18.2 in 2005.
Delhi, whose record has been available since 1988, saw 25.9 new cases of cervical cancer per 100,000 population in the same year. It fell to 19.1 in 1998 and then to 18.9 in 2005.

Mumbai, which recorded 17.9 new cases of cervical cancer per 100,000 population in 1982, recorded 12.7 new cases in 2005.


Cervical cancer cases in Chennai have declined by almost 50% during this period of 24 years. In 1962, 71 cases were reported per 100,000 population in Chennai; Nearly a decade later, in 1991, the number of new cases in Chennai dropped to 33.4. In 2005, new cases fell further to 22 per 100,000 population.

Cervical cancer caused by human papilloma virus (HPV) is often referred to as poor female disease. It was previously believed that cervical cancer is the most common in India, with more than 1.3 lakh new cases occurring every year and 74,000 women dying annually from the disease.

Bangalore has seen more than double the number of cases of breast cancer since 1982 – from 15.8 in a population of one lakh in 1982 to 32.2 in 2005 – in Chennai 33.5 new cases of breast cancer were reported in 2005, compared to 18.4 in 1982.

Delhi recorded 24.8 new breast cancer cases per 100,000 women per year, which increased to 32.2 in 2005. Mumbai recorded 20.8 new cases of breast cancer per 100,000 population in 1982, which increased by about 10% in 2005.


Dr. VM Katoch, Director General, ICMR and Secretary, Department of Health Research, told TOI, ‘Cervical cancer cases have seen a decline in all cancer registries. Factors such as late marriage age and fewer children can be responsible for the decline. ”

Dr Vinod Raina, head of medical oncology at AIIMS and head of Delhi Cancer Registry, told TOI, ‘Now the number of women in the institutes is increasing, which has greatly improved their personal hygiene. Women now marry late and give birth to fewer children, due to which there has been a decline in cases of cervical cancer. ”

Ironically, according to Dr. Raina, these are the same factors that have increased the rate of breast cancer in India.

Western lifestyles, increased intake of fatty products, obesity, late marriages, late childbearing and reduced number of pregnancies, reduced breastfeeding and the use of certain contraceptives are all considered to be behind the increased risk of breast cancer. . This cancer is also unavoidable with an aging population, ” he said.


However, Dr. Raina hastened to say that the rate of breast cancer in India was much lower than in the West, recording about 100 new cases per 100,000 population every year.

According to Dr. Katoch, the report shows a change in the incidence rate of cancer and is the first for any chronic disease in India.

Some anatomical sites of cancer have shown a markedly steady increase in all registries, one of them also being breast cancer. Dr. Katoch said, “This data will now help strengthen India’s health system and tell us how we can improve diagnostic capabilities and specialists in some types of cancer that affect Indians the most.”


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