This picture is for representation only. For a 45-year-old resident of South Africa it was a relief when a hospital in Mumbai agreed to operate on a large lump in her left breast which she had been living with for the last two years. Investigation revealed it was a cancerous tumour weighing about 4.8kg one of the heaviest according to doctors. It was diagnosed as locally advanced breast cancer. 'When Mary (name changed on request) came to us we were surprised to see such a huge lump. We did her PET CT which showed locally advanced breast cancer as it