Review of Country Specific Evidence to Strengthen Early Detection of

Breast Cancers in Sri Lanka

Dr. Suraj Perera MBBS, MSc, MDConsultant Community Physician

National Cancer Control ProgrammeMinistry of Health

Sri Lanka

Data coding & classification

Surveillance of Cancers

Cancer Incidence Data 2001-2005

Available on line at http://www.health.gov.lk/cancer.htm

Incidence of all cancers in Sri Lanka

Year No. Crude incidence rate (per 100,000

population)

1985 5012 31.6

1990 6063 35.7

1995 7325 40.4

2000 10925 56.4

2005 13372 67.9

Incidence of Breast Cancers among Females (1985 – 2000)

Year Incidence of Breast Cancers Among Females

No. newly diagnosed

% out of all female cancers

Relative Rank among Female

Cancers

1985 531 21.6% 2

1990 640 20.7% 2

1995 874 22.5% 2

2000 1324 22.8% 1

2001 1548 26.2% 1

2002 1580 24.8% 1

2003 1631 25.3% 1

2004 1746 24.9% 1

2005 1859 25.4% 1

Leading cancer sites- 2005 (Females)Site No. Crude rate Age standardized

rate

Breast 1859 18.7 18.3

Cervix uteri 881 8.9 8.9

Ovary 596 6.0 5.9

Thyroid 592 6.0 5.9

Oesophagus 524 5.3 5.5

Lip, oral cavity & pharynx

377 3.8 3.8

Colon & rectum 353 3.5 3.6

Leukaemia 257 2.6 2.8

Lymphoma 243 2.4 2.5

Uterus 237 2.4 2.4

Leading cancer sites – Females (2005)

Crude Incidence Rate of Breast Cancer

6.97.9

9.8

13.5

18.6

0

2

4

6

8

10

12

14

16

18

20

1985 1990 1995 2000 2005Cru

de

inci

den

ce ra

te/1

00,0

00

Year

Breast cancer incidence by district, Sri Lanka – 2005

Morphology of Female Breast Cancers ( 2000- 2005)

Histology Type No %

Infiltrating ductal carcinoma 7783 80.3%

Lobular carcinoma 339 3.4%

Non infiltrating intraductal carcinoma 6

Infiltrating duct & lobular carcinoma 7

Medullary carcinoma 59

Inflammatory carcinoma (Paget disease) 16

Sarcoma 21

Lymphoma 4

Melanoma 2

Phyllodes tumour 50

Others (including unclassified) 1401 14.4%

Total 9688

Research Evidence - Breast Cancer Epidemiology

Retrospective analytical study –Breast Cancer Patients presented to the Professorial Surgical Unit , NCTH 2000 – 2010

Results • 134 patients 67% above 50 years (mean age 52 years)

75% patients detected lump accidentally20% patients detected due to pain

9.7% did breast self examination58% delay in seeking treatment > 3 months50.7% locally advanced breast cancer

(Bandara DMSM, Ariyarathna MHJ ‘Delay in diagnosing female breast cancer’ Ceylon Medical Journal, Vol 55 Supplement 1, June 2010, pp 66)

04/19/23

Early Detection Strategies of Breast Cancer

04/19/23

THANK YOU

National Cancer Control Programme Ministry of Health

555/5, Ground FloorPublic Health Complex

Elvitigala MawathaNarahenpita Colombo 5

Tel No. +94 -011-2368627E mail nccpsl@yahoo.com