The group of patients (N= 18) who
were non-adherent because they felt well were
aged between 30-45years and 16 of them had
stage I and II diseases. Nine had neo-adjuvant
chemotherapy with very good response and
indeed 5 out of them had a dramatic response
with non-palpable tumours after the first
course of chemotherapy. The remaining 9 had
mastectomy but defaulted before, during or
after the first course of adjuvant
chemotherapy. Twelve patients of this group
were lost to follow up while 6 re-presented
again with stage IV disease.