Characteristics of Targeted Egyptian Women with Breast Disease on their First Visit at a One Stop Breast Imaging Clinic
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- Category: Vol. 84, September 2016
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Characteristics of Targeted Egyptian Women with Breast Disease on their First Visit at a One Stop Breast Imaging Clinic, HANAN GEWEFEL
Abstract
Objectives: Reviewing the electronic computerized reg-istered patient's medical history and characteristics of the benign and malignant breast masses detected during the patients first visit (whether a screening or diagnostic visits) with performed mammography and a complementary ultra-sound scans. We aimed to achieve better understanding of the patient's clinical history and the radiologic diagnosis in order to identify influencing factors in the targeted population.
Material and Methods: The patient's data were collected retrospectively and analyzed on 782 cases that were found to have visited the clinic for the first time at the Women and Fetal Imaging Clinic in Cairo during the period of April 2013 to April 2014. The patients were with a breast mass mammo-graphically detected with additional breast ultrasound scan are included while the patients with negative results are excluded. The imaging examinations were performed by two dedicated breast imaging specialists at WAFI clinic. The classification of the masses as benign or malignant was determined following the BI-RADS® classification.
Results: Four-hundred cases of the selected 782 cases were found to have breast masses at time of examination, of which 115 cases were proven to be malignant by biopsy or surgical intervention and 285 cases showed benign features at time of examination. The characteristics of the 2 groups were compared. 364 of the cases were screening visits and the remaining 134 were diagnostic. 344 of the cases reported to have a positive family history of breast cancer, and 108 cases were self-referred. The main significant factors were the age being older in malignant cases mean values of 53.3 years versus 43 years in benign masses, the parity was higher in malignant cases mean value of 2.7 pregnancies versus 1.9 in benign masses. The use of exogenous hormones (premen-opausal) was higher in malignant cases with a significant p-value of 0.02. However, BMI, HRT and size of lesions did no show statistically significant difference between the 2 groups. Family history of breast cancer was found in 95% of the malignant masses versus 78% of the benign masses. Conclusion: Age seems a significant risk factor in the development of cancer breast. Mammography along with targeted ultrasound scan seems a good screening test in early detection of breast cancer. Screening mammogram should be offered routinely after the age of 40 years. It was clearly that a positive family history is the main factor influencing the cases to seek a medical breast examination. Spreading the knowledge and understanding among patients through their physicians seems essential step towards utilization of available screening methods for early detection of breast cancer.