Evaluating the Performance of an Advanced Breast Cancer Diagnosis Unit in India Baptist Jolene1,2, Dixit Santosh2, Busheri Laleh2, Krishnan Lakshmi2, Alhat Rashmi2, Verghese Beenu2, Koppiker Chaitanyanand2 1Symbiosis Institute of Health Sciences, Symbiosis International University Pune, India 2Orchids Breast Health Clinic, Prashanti Cancer Care Mission, Pune, India Online published on 29 December, 2017. Abstract Purpose Breast Cancer (BC) is the most common cancer in India and has the highest mortality rates. Given the increasing BC burden, there exists a need to establish BC advanced diagnostic centres in India that deliver affordable services with global standards. To evaluate the performance of an advanced BC diagnosis facility in Pune, India Methodology Radio-diagnosis department at Orchids Breast Health Clinic (OBHC) in Pune is equipped with 2-D Full-field Digital Mammography (FFDM) with 3-D Tomosynthesis, Automated Breast Volume Scanner (ABVS) and precision biopsy devices (i.e. stereotactic, vacuum and mammotome). Breast radiologists, surgeons and radiographers follow NCCN guidelines and BIRADS lexicons for BC diagnosis based on ultra-sonography (USG) for women <40 years and FFDM for women aged 40 years and above. Suspicious cases undergo appropriate image-guided biopsies. Retrospective radiology and clinico-pathology data was collected from clinically annotated patient archives maintained at OBHC. Results During the period of 20 months (i.e. from February 2015 to October 2016), women walked into OBHC for their breast related symptoms or annual check-up or screening. Out of the total women who underwent imaging based diagnostics, 206 women had a breast biopsy. Among them, 96.8% women were diagnosed for BC on a tru-cut biopsy and 3.2% on a stereotactic biopsy. Conclusion Following the EUSOMA guidelines, OBHC has improved and advanced their diagnostic modalities, clinical team, paramedics, trainees and quality service for Breast Cancer care in India. Top Keywords ABVS, BIRADS, Breast Biopsy, Breast Cancer, FFDM. Top |