Breast Evaluation Findings in Calabar, Nigeria
DOI:
https://doi.org/10.3889/oamjms.2014.117Keywords:
BI-RADS, Breast Ultrasound, Mammography, Screening, Calabar, Nigeria.Abstract
BACKGROUND: Â X-ray and sonomammography constitute a significant option in the early detection and management of breast diseases in the developed world. Unfortunately these modalities became available in Nigeria, only in the past few decades.
AIM: The aim of this audit is therefore to document the imaging findings, in the past three years in a developing facility in Nigeria relating them with the demograghic features.
METHODS: We prospectively studied the x-ray and sonomammography in all patients, presenting over a three year period, for breast evaluation with the hope of discerning the epidemiologic pattern of breast lesions in this environment.
RESULTS: One hundred and forty-five females and four males. Median was 38 years (IQR=30-48). The commonest reason for evaluation was screening. Patients that were below 38 years showed no significant difference in frequency and type of lesion compared with patients over 38 years. The commonest breast pattern was fatty replaced. The upper outer quadrant was the commonest site.
CONCLUSION: Patients presenting for breast evaluation in Calabar do so for screening mainly. Patients below 38 are nearly equally affected by malignant breast disease as their older counterparts. The commonest breast pattern was fatty replaced. Digital mammography should be available in all tertiary institutions.Downloads
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Alexis MW, Michael JM, Martin JRL. Best practice diagnostic guidelines for patients presenting with breast symptoms; 2010: Breast Cancer Working Group. Retrieved online: http://www.associationofbreastsurgery.org.uk/media/4585/best_practice_diagnostic_guidelines_for_patients_presenting_with_breast_symptoms.pdf
Babatunde AA, Adebayo O, Babatunde AS. Niger J Surg. 2012; 18: 13-16.
Nasiru AI, Abiodun OP, Mobolaji AO et al. Breast cancer among Urban Nigerian women: Appraising presentation and the quality of care. Macedonian Journal of Medical Sciences. 2012; 4:388–392. DOI: https://doi.org/10.3889/MJMS.1857-5773.2011.0187
Adebamowo CA, Ajayi OO. Breast Cancer in Nigeria. West Afr J Med. 2000; 19:179-191.
Starvos AT, Thickman D, Rapp U. et al. Solid breast nodules: Use of sonography to distinguish between benign and malignant lesion. Radiology. 1995; 196:123-134. DOI: https://doi.org/10.1148/radiology.196.1.7784555
Imrana M, Shaista A, Saima S, et al. Negative predictive value of mammography and sonography in mastalgia with Negative physical findings. J Pak Med Assoc. 2009; 59:598-601.
Flobbe K, Bosch AM, Kessels AG, et al. The additional diagnostic value of ultrasonography in the diagnosis of breast cancer. Arch Intern Med. 2003; 163:1194. DOI: https://doi.org/10.1001/archinte.163.10.1194
Houssami N, Irwig L, Simpson JM, et al. Sydney Breast Imaging Accuracy study: Comparative Sensitivity and specificity of mammography and Sonographic in young more with symptoms. AJR Am J Roentgenol. 2003; 180:935-40. DOI: https://doi.org/10.2214/ajr.180.4.1800935
Malik G, Wagar F, Buledi GQ. Sonomammography for evaluation of solid breast masses in young patients. J Ayub Med Coll Abbottabad. 2006; 18:34-7.
Agboola AJ, Musa AA, Wanangwa N, Abdel-Fatah T, Nolan CC, Ayoade BA, Oyebadejo TY, Banjo AA, Deji-Agboola AM, Rakha EA, Green AR, Ellis IO. Molecular characteristics and prognostic features of breast cancer in Nigerian compared with UK women. Breast Cancer Res Treat. 2012;135(2):555-69. DOI: https://doi.org/10.1007/s10549-012-2173-7
Orel SG, Kay N, Reynold C et al. BIRADS categorization as a predictor of Malignancy. Radiology. 1999;211: 845-50. DOI: https://doi.org/10.1148/radiology.211.3.r99jn31845
Elizabeth SB, Edward AS, Lawrence WB et al. The ACR BI-RADS® Experience: Learning From History. J Am Coll Radiol. 2009; 851-860. DOI: https://doi.org/10.1016/j.jacr.2009.07.023
Bakir JA, Kornguth PJ, Sooms WR, et al. Sonography of solid breast lesions. Observer variably of lesion description and assessment. AJR Roentgenol. 1999;172:1621-1625. DOI: https://doi.org/10.2214/ajr.172.6.10350302
Obajimi MO, Akute OO, Afolabi AO, et al. BIRADS Lexicon: An urgent call for the Standardization of Breast Ultrasound in Nigeria. Annals of Ibadan Postgraduate Medicine. 2005; 3. DOI: https://doi.org/10.4314/aipm.v3i1.39081
Ruth EJ, Johnson, MD. M. Hassan Murad. Gynaecomastia: Pathophysiology, Evaluation and Management. Mayo Clin Proc Nov. 2009;84: 1010-1015. DOI: https://doi.org/10.4065/84.11.1010
Umoh MS, Asuquo ME, Otu AA et al. Male Breast Cancer in Calabar Nigeria; A Twenty Year Experience. Global Journal of community medicine. 2009; 2: 21-25 DOI: https://doi.org/10.4314/gjcm.v2i1-2.47925
Adisa AO, Arowolo OA, Akinkuolie AA et al. Metastatic breast cancer in a Nigerian tertiary hospital. Afr Health Sci. 2011;11: 279-284.
Anders CK, Johnson R, Litton J, Phillips M, Bleyer A. Breast cancer before age 40 years. In Seminars in oncology. 2009; 36(3): 237-249. DOI: https://doi.org/10.1053/j.seminoncol.2009.03.001
Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA Cancer J Clin. 2011; 61: 69-90. DOI: https://doi.org/10.3322/caac.20107
Tamimi RM, Bryne C, Colditz GA, et al. Endogeneous hormone levels, mammographic density and subsequent risk of breast cancer in postmenopausal women. Journal of the National Cancer Institute. 2007; 99:1178-1187. DOI: https://doi.org/10.1093/jnci/djm062
Dandolu V, Hemandez E. Mammographic breast density. N Engl J Med. 2007;356:1885-1887. DOI: https://doi.org/10.1056/NEJMc070404
Elad Ziv. Jeffrey Tice, Rebecca S et al. Mammograph Density and Estrogen Receptor status of Breast Cancer, Cancer Epidemiol. Biomarkers and prevention. 2008;13:2090 – 2095.
Wolf JN. Breast patterns as an index of risk for developing breast cancer. AJR AM J Roetgenol. 1976; 126:1130-1137. DOI: https://doi.org/10.2214/ajr.126.6.1130
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