Breast Cancer in West Java: Where Do We Stand and Go?

Yohana Azhar, Hasrayati Agustina, Maman Abdurahman, Dimyati Achmad

Abstract


Background: Breast cancer is the most common cancer in Indonesia, a low-middle income country in Southeast Asia. We provide a regional hospital-based cancer registry of the central hospital in West Java, Indonesia. This study aims to characterize the presentation, diagnosis, evaluation, and management of breast cancer; to develop a regional breast cancer registry in West Java to monitor cancer care patterns; to evaluate cancer treatment outcomes.

Methods: The data were collected from the medical records deposited in the Hasan Sadikin General Hospital Information System. The team has been contracted to operate the registry & organize an advisory board to standardize definitions of coding terminology of the registry’s reporting system and to monitor the cancer care pattern. Data validation was conducted by a team in the cancer registry, consisting of health officers, pathologists, and registrars. Data management and analysis were conducted by the cancer registry team.

Results: A total of 913 women diagnosed with breast cancer, from January 2014 until December 2018, were studied. The median age was 49.5 years old. The initial diagnosis was at the age of 42.4 years old on average. About 64.5% were diagnosed with stage-3 and -4 cancers, and 75.1% had undergone a mastectomy, of which 47.3% of the intent was palliative. Of those who have hormonal receptors, only 26.9% were positive, and 36.5% were not assessed for immunohistochemistry evaluation. Inappropriate surgical management of breast cancer was common at the community level, which included indiscriminate diagnostic lumpectomy (21.9%), incomplete mastectomy and omission, or suboptimal lymph node axillary clearance (47.4%). Only 3.0% of patients received breast-conserving surgery and were treated with mastectomy and reconstruction.

Conclusions: Breast cancer in West Java is often recognized at the late stage. Treatment was suboptimal, leading to poor survival. A more aggressive approach to early detection and treatment needs to be developed to improve the outcomes of this potentially curable disease.


Keywords


breast cancer, regional breast cancer registry system, West Java

References


Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C et al. GLOBOCAN 2012 v 1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No 11 [Internet]. Lyon, France : International Agency for Research on Cancer; 2013.

Dinas Kesehatan Provinsi Jawa Barat. Profil Kesehatan Jawa Barat 2017. [Accessed April 10th, 2020] http://www. diskes. jabarprov.go.id

Kim Z, Min SY, Yoon CS, Won Jung K, Seok Ko B, Kang E et al. The Basic Facts of Korean Breast Cancer in 2012: Results from a Nationwide Survey and Breast Cancer Registry Database. J Breast Cancer. 2015 ; (16) : 10311.

Fan L, Zheng Y, Yu KD, Liu GY, Wu J, Lu JS et al. Breast Cancer in a Transitional Society over 18 Years: Trend and Present Status in Shanghai, China, Breast Cancer Res Treat. 2009 ;117: 409-16.

Youlden DR, Cramb SM, Yip YH, Baade PD. Incidence and Mortality of Female Breast Cancer in The Asia Pacific Region. Cancer Biol Med. 201 ;(11) :101-15.

Youlden DR, Cramb SM, Dunn NA, Muller JM, Pyke CM, Baade PD. The Descriptive Epidemiology of Female Breast Cancer: An International Comparison of Screening, Incidence, Survival and Mortality. Cancer Epidemiol. 2012;(36) : 237-48.

Bray F, Ferlay J, Soerjomataram IS, Siegel RL, Torre LA, Jematistics et al, A. Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA ; A Cancer Journal for Clinicians 2018; (0) :1-31

Wong FW, Tham WY, Nei WL, Lim C, Miao H. Age Exert a Continuous Effect in the Outcomes of Asia Breast Cancer Patients Treated with Breast-Conserving Therapy. Cancer Commun. 2018 ;38: 39

Azhar Y, Dimyati A, Lukman K, Hilman D., Aryandono T. Predictor of Complementary and Alternative Medicine Use by Breast Cancer Patients in Bandung Indonesia. Asian Pac J Cancer Prev. 2016 ; 17(4) : 2115-8.

Anwar SL, Tampubolon G, Hemelrijvk MV, Hutajulu SH, Watkins J, Wulaningsih W et al. Determinants of Cancer Screening Awareness and Participation among Indonesian Women. BMC Cancer. 2018 ; 18 : 208

Poum A, Promthet S, Duffy SW, Parkin DM. Factors Associated with Delayed Diagnosis of Breast Cancer in Northeast Thailand. J epidemiol. 2014; 24(2) :102-8.

Mardela AP, Maneewat K, Sangchan H. Breast Cancer Awareness among Indonesian Women at Moderate-to-High Risk. Nursing and Health Sciences . 2017; (19) : 30-6

Clegg-Lamptey JNA, Hodasi WM. A Study of Breast Cancer in Korle Bu Teaching Hospital: Assessing the Impact of Health Education. Ghana Med J. 2007; (41) : 72-7.


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DOI: 10.33371/ijoc.v14i3.737

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