CARCINOMA OF THE BREAST : TIME TO PRACTICE EVIDENCE BASED MEDICINE

Abstract

Breast cancer is a common, dangerous and to some extent curable disease. Mortality from this disease has
just now beginning to fall after remaining stagnant for 40 years. Screening and multimodal therapy based
on our paradigm changes are responsible for this happy trend. There is a very individualistic trend among
surgeons to manage such cases, based on their own personal experiences. We are in a situation where same
staged disease is managed very differently and thus comparison of results and national guidelines are very
far off. We have very few indexed publications listed on this subject from Nepal.

Here an attempt is made
to review the recent publications and rationalizations from the abundance of information available.
Key Words: Carcinoma, breast, screening, mammography, radiotherapy, mastectomy.