Patterns of Breast Diseases Among Women Attending Breast Diseases Diagnosing Center in Erbil City/Iraq

BACKGROUND & OBJECTIVES: Breast diseases in women, whether benign or malignant, are very commonly encountered. The pattern of breast diseases varies within countries. The aim of this study was to identify the patterns of breast diseases and their association with different variables in women attending breast diseases diagnosing center in Erbil city/Iraq.MATERIAL & METHODS: A cross-sectional study conducted at breast diseases diagnosing center in Erbil city from 1st of April till 1st of December /2017. A random sample of 500 women of all age groups and with complete records was recruited. The women were classified according to their final diagnosis into 3 categories: normal, benign and malignant breast disease. The level of significance was <0.05.RESULTS: Benign breast diseases diagnosed among (63%) women while malignant breast diseases comprised (13.2%).The most common presentation was mastalgia and mass (39.2%), mastalgia (37.6%), and mass alone (23.2%). Fibro-adenoma (26.2%) was the commonest benign condition with highest incidence (76.9%) in age group less than 20 years. Malignant breast diseases were increasing with age. Benign breast disease associated (p <0.001) with Nulliparity. Breast cancer reported (p <0.001) more among lactating women.CONCLUSIONS: Benign conditions are the most common diagnosis affecting mainly younger women. Breast cancer though diagnosed less frequently and affecting older age groups, yet its seriousness mandating a thorough assessment of women of different presentations especially that of mass alone or with mastalgia.

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The Importance of Clinical Data for the Diagnosis of Breast Tumours in North Afghanistan

International Journal of Breast Cancer ◽

10.1155/2021/6625239 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Gerhard Stauch ◽

Peter Fritz ◽

Rauofi Rokai ◽

Atiq Sediqi ◽

Haroon Firooz ◽

...

Keyword(s):

Breast Cancer ◽

Preliminary Data ◽

Elective Surgery ◽

Cost Effective ◽

Final Diagnosis ◽

Breast Disease ◽

Developed Countries ◽

Needle Aspiration ◽

Breast Diseases ◽

Data Set

Background. This study was performed in knowledge of the increasing gap between breast disease treatment in countries with restricted resources and developed countries with increasingly sophisticated examination methods. Methods. The authors present the analysis of a breast disease register consisting of diagnostic cases from Mazar e Sharif and Herat in 2018 and 2019. The study comprises a total of 567 cases, which were presented to experts via telemedicine for final diagnosis. 62 cases (10.9%) were excluded due to inacceptable data or insufficient image quality. These data provided by daily diagnostic classification were used for the built-up of a profile for each frequent breast disease and a breast cancer register. All images and cases were seen by at least 3 independent experts. The diagnoses were made in 60% of cases by cytology of fine needle aspiration and in 40% by histological images. Results. For each entity of breast diseases (e.g., fibroadenoma), a profile of context variables was constructed allowing to assist medical decisions, as “wait and see,” elective surgery or immediate surgical intervention with R0 (complete) resection. These “profiles” could be described for fibroadenoma, mastitis, galactocele, fibrous-cystic disease, and invasive breast cancer. Conclusions. The presented preliminary data set could serve as a cost-effective basis for a North Afghan breast cancer registry, with option to extent to a national model. These preliminary data are transformed in profiles of breast diseases, which are used by the local physicians in charge of breast disease patients. Each new case can be compared by the local treating physician with the profile of all preceded cases with the same diagnosis.

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Profiles of Breast Diseases among Women Seeking for Treatment during Covid-19 Pandemic at Surgery OPD of Medical University of Bangladesh

Journal of Current and Advance Medical Research ◽

10.3329/jcamr.v8i1.52473 ◽

2021 ◽

Vol 8 (1) ◽

pp. 3-6

Author(s):

Bidyut Chandra Debnath ◽

Abanti Ghosh ◽

Abul Kalam Chowdhury ◽

Rana Jahangir ◽

Ferdous Alam ◽

...

Keyword(s):

Breast Disease ◽

Cross Sectional Study ◽

Breast Diseases ◽

Age Group ◽

Fibrocystic Disease ◽

Breast Lump ◽

Cross Sectional ◽

Study Population ◽

The Mean ◽

Medical University

Background: Different pathology of breast is found among the women. Objective: The purpose of the present study was to see the profiles of breast disease among women seeking for treatment during Covid-19 pandemic at the OPD of medical university of Bangladesh. Methodology: This descriptive cross-sectional study was conducted in the Department of Surgery at Bangabandhu Shiekh Mujib Medical University, Dhaka, Bangladesh from 1 April to 31 October 2020 for a period of six months. All the women who were attended at the OPD of the Department of Surgery with the different complaints of breast at any age were selected as study population. The different disease profiles were recorded in the data sheet. Result: A total number of 1625 women were recruited for this study. The mean age with standard deviation of the study population was 36.4±12.54 years. Among 1492 women the most common breast complaints was mastalgia which was 492(29.9%) cases followed by fibrocystic disease, breast lump, fibroadenoma and carcinoma breast which was 296(18.0%) cases, 202(12.3%) cases, 141(8.6%) cases and 84(5.1%) cases respectively. Similarly duct ectasia, fibroadenoma, fibrocystic disease and lipoma were also most common among the less than or equal to 45 years age group of women which were 47(94.0%) cases, 137(97.2%) cases, 269(90.9%) cases and 75(51.4%) cases respectively. Conclusion: In conclusion breast lump and fibrocystic disease are the most common diseases among the women attending during covid19 era. Journal of Current and Advance Medical Research, January 2021;8(1):3-6

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Breast Cancer Screening Among Medical Staff in Tehran, Iran: Improvement of Early Detection

ACTA MEDICA IRANICA ◽

10.18502/acta.v58i1.3704 ◽

2020 ◽

Author(s):

Hossein Yahyazadeh ◽

Marzieh Beheshti ◽

Azita Abdollahinejad ◽

Maria Hashemian ◽

Narges Sistany Allahabad ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Screening ◽

Early Detection ◽

Breast Cancer Screening ◽

Medical Staff ◽

Demographic Data ◽

Cross Sectional Study ◽

Breast Diseases ◽

Cross Sectional ◽

Screening Programs

Breast cancer is the most prevalent Iranian female malignancy. Breast screening reduces the number of malignant breast diseases. We aimed to assess the results of the pilot breast cancer screening on early detection in female medical staff in Milad Hospital, Tehran, Iran. A cross-sectional study. Female medical staff from Milad Hospital, Tehran, Iran, were examined by a specialist in 2016. A checklist, including demographic data, was completed by the participants. If necessary, they referred to as sonography or mammography. Data were analyzed using SPSS software. Of 746 people enrolled, 137 had no pathological point, 609 had suspicious or positive findings that were referred for further investigation, 449 had normal findings, and 7 had suspicious mass and were biopsied, 6 were benign. One case had primary invasive cancer. Since screening for breast cancer helps to early detection of this disease, the implementation of cancer screening programs should be on the priority of health authorities.

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A clinicopathological study to determine age specific prevalence rate of benign breast lumps

International Surgery Journal ◽

10.18203/2349-2902.isj20194420 ◽

2019 ◽

Vol 6 (10) ◽

pp. 3655

Author(s):

Noor Hassan Hussian ◽

Pradip Kumar Mohanta ◽

Subikash Biswas ◽

Siddhabrata Besra ◽

Sabuj Pal ◽

...

Keyword(s):

Age Groups ◽

Cost Effective ◽

Cross Sectional Study ◽

Breast Diseases ◽

Age Group ◽

Breast Lump ◽

Cross Sectional ◽

Outer Quadrant ◽

Breast Physiology ◽

Breast Lumps

Background: The pathogenesis involves disturbance in the breast physiology extending from an extreme normality to well defined disease processes. The clinician must provide a degree of diagnostic accuracy while at same time ensuring that an excessive biopsy rate is prevented. The aim of this study was to evaluate the benign breast lumps in different age groups and to determine the prevalence of benign breast lumps among the breast symptomatic.Methods: This clinico-pathological cross sectional study was conducted with a sample size of 100. The study was conducted during the period from July 2018 to June 2019 which included all patients presenting with benign breast lump during the study period.Results: Out of 100 studied cases of benign breast diseases, the most common benign breast tumor found as fibro adenoma and majority of the fibro adenoma found in the 2nd and 3rd decade of life. Right breast and upper outer quadrant were most commonly affected. Majority of benign breast lesions presented with painless lump in the breast and most of them were from rural background. Majority of benign Breast lumps (45%) cases were found in the age group of 21-30 years. Majority of the patients (60%) attain menarche between ages 13-15 years. Majority of cases (55%) were belonged to lower socio economic status.Conclusions: Our study indicates that FNAC is diagnostically more accurate, safe, cost effective and OPD procedure, however when FNAC was inconclusive, biopsy is the best choice for breast tumors.

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Characteristics and subtypes of depressive symptoms in Chinese female breast cancer patients of different ages: a cross-sectional study

AIMS Public Health ◽

10.3934/publichealth.2021055 ◽

2021 ◽

Vol 8 (4) ◽

pp. 691-703

Author(s):

Yanyan Li ◽

◽

Hong Liu ◽

Yaoyao Sun ◽

Jie Li ◽

...

Keyword(s):

Breast Cancer ◽

Depressive Symptoms ◽

Cancer Patients ◽

Age Groups ◽

Cross Sectional Study ◽

Female Breast Cancer ◽

Breast Cancer Patients ◽

Cross Sectional ◽

Female Breast ◽

Depressive Subtypes

<abstract><sec> <title>Purpose</title> To identify the characteristics and subtypes of depressive symptoms and explore the relationship between depressive subtypes and age among Chinese female breast cancer patients. </sec><sec> <title>Method</title> In this cross-sectional study, 566 breast cancer patients were recruited from three tertiary comprehensive hospital in Shandong Province, China through convenient sampling from April 2013 to June 2019. Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9). Data analyses included descriptive analyses, latent class analysis. </sec><sec> <title>Results</title> There were significant differences in specific depressive symptoms by age group, but no significant difference in total scores on PHQ-9. The depressive subtypes were severe (Class 4), relatively severe (Class 3; with lower psychomotor agitation/retardation and suicidal ideation), moderate (Class 2; with higher psychomotor agitation/retardation and suicidal ideation), and mild depressive symptoms (Class 1). The distribution of depression subtypes is different in various age groups. In the 45–59 age groups, severe symptoms subtype showed the highest ratios (i.e. 50.3%). </sec><sec> <title>Conclusion</title> This is the first study that analyses depressive symptom characteristics and identifies depressive subtypes in Chinese women with breast cancer across ages to explore symptom heterogeneity. Our findings can contribute to identifying the mechanisms behind these relationships and developing targeted interventions for patients with specific depressive subtypes. </sec></abstract>

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Concordance and Diagnostic Accuracy of Ultrasonography and Mammography Findings with Pathology Results in Breast Cancer

Archives of Breast Cancer ◽

10.32768/abc.202073127-131 ◽

2020 ◽

pp. 127-131

Author(s):

Leila Ghafoor ◽

Abbas Hajian ◽

Yaser Hamidian ◽

Seyed Hamed Rohani

Keyword(s):

Breast Cancer ◽

Medical Center ◽

Malignant Lesion ◽

Final Diagnosis ◽

Screening Tools ◽

Pathology Report ◽

Breast Lesions ◽

Cross Sectional ◽

The Us ◽

Malignant Breast

Background: Ultrasonography and mammography are two radiologic approaches for screening breast cancer; however, the pathology report is required for the ultimate diagnosis of malignancy. This study aimed to assess the concordance of ultrasonography (US) and mammography with the pathology in breast cancer.Methods: A cross-sectional study was conducted to assess the breast US and the mammography findings based on the BI-RADS model in comparison with the definitive pathology reports in a single medical center. The sensitivity, the specificity, positive (PPV) and negative predictive value (NPV) and also the concordance between the US and the mammography data were analyzed.Results: In this study, 126 patients were included. The sensitivity, specificity, PPV, and NPV for the US were 69.8, 71.9, 75.6 and 81.3 and for mammography were 91.9, 76.6, 80.8 and, 94.6 percent, respectively. The ROC-curve for either the US or the mammography showed that the BI-RADS 4 was accompanied with the highest sensitivity and specificity for the screening of the malignant breast lesions regarding the final diagnosis. Although an overall higher correlation between mammography report and presence of a malignant lesion was observed, the total relative concordance between the results of US and mammography as screening tools proved to be statistically significant (P<0.01).Conclusion: Both the US and the mammography were sensitive and specific screening tools, particularly for the malignant breast lesions. Furthermore, when evidence of the BI-RADS?4 in either the mammography or the US was present, utilization of the other test could be ignored before biopsy.

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In Vivo Measurements of Fibrin Formation and Fibrinolysis in Operable Breast Cancer

Thrombosis and Haemostasis ◽

10.1055/s-0038-1646584 ◽

1989 ◽

Vol 61 (02) ◽

pp. 318-321 ◽

Cited By ~ 7

Author(s):

P McCulloch ◽

J Douglas ◽

G D O Lowe ◽

G Murray ◽

W D George

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Degradation Products ◽

Breast Disease ◽

Breast Diseases ◽

Breast Cancer Patients ◽

Fibrin Formation ◽

Er Positive ◽

Malignant Breast

SummaryFibrin formation and fibrinolysis were estimated in 89 breast cancer patients by measurement in plasma of Fibrin Fragment Bβ 15-42 and Fibrinopeptide A (FPA), serum Fibrin(ogen) Degradation Products (FDPs) and plasminogen activator by Fibrin Plate Lysis Assay. Results were compared with (a) 26 patients with benign breast diseases; and (b) 45 healthy factory workers. FPA, FDP and Bβ 15-42 Levels were elevated in both breast cancer patients and benign disease patients, but there were no significant differences between these two groups. Cancer stage, patient age and smoking habits did not affect these results, but Oestrogen Receptor (ER) positive patients had higher Bβ 15-42 values than ER negative patients (p = 0.017). These results show that fibrin formation is enhanced preoperatively in patients with either benign or malignant breast disease. The fibrinolytic response to activated coagulation may be relatively deficient in breast cancer. The roles of malignancy, stress and other factors in the causation of these abnormalities require further assessment.

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Prevalence of Autism Spectrum Disorder (ASD) among the children aged 18-36 months in a rural community of Bangladesh: A cross sectional study

F1000Research ◽

10.12688/f1000research.13563.1 ◽

2018 ◽

Vol 7 ◽

pp. 424 ◽

Cited By ~ 4

Author(s):

Shaheen Akhter ◽

A.H.M Enayet Hussain ◽

Jannatara Shefa ◽

Gopen Kumar Kundu ◽

Fazlur Rahman ◽

...

Keyword(s):

Autism Spectrum Disorder ◽

Rural Community ◽

Age Groups ◽

Final Diagnosis ◽

Cross Sectional Study ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Diagnostic Tools ◽

Sectional Study ◽

Cross Sectional

Background: Autism spectrum disorder (ASD) refers to a group of complex neurodevelopment disorders characterized by repetitive and characteristic patterns of behavior and difficulties with social communication and interaction. In Bangladesh, autism in children is a significant burden of disease. Early identification of ASD could improve quality of life. The study has explored at the prevalence of ASD among rural community children aged between 18-36 months. Methods: A cross sectional study was conducted among the 5286 children aged between 18-36 months in a rural community. Household level data was collected using screening tool MCHAT. Primarily screening positive 66 children were invited for final diagnosis in a health camp. Diagnosis was made by different staging started from primary screening, followed by validation using MCHAT and flash card. Final diagnosis was made by the paediatric neurologists, child clinical psychologists and development therapist using diagnostic tools (DSM-IV & ADOS). Results: 04 children were diagnosed with autism spectrum disorder (ASD). Prevalence of the ASD in rural community was found 0.75/1000 children. Among the four ASD cases three were boys and one was girl and age range was between 20- 30 months. Whereas, the highest prevalence rate found was for the cerebral palsy which was 5.6/1000 children and Developmental delay (2.6/1000) was the next to that. Conclusions: Age specific autism (18-36 months) in children is found higher in rural community of Bangladesh. In order to get more comprehensive information on autism in other age groups of children in rural community, further study is required. Early detection in rural community could help the policy makers to decentralization of health services among the ASD children in rural community.

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Cytomorphological study of palpable benign breast lesions

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20171583 ◽

2017 ◽

Vol 5 (5) ◽

pp. 1843

Author(s):

Preeta Naik

Keyword(s):

Age Groups ◽

Phyllodes Tumor ◽

Breast Disease ◽

Needle Aspiration ◽

Reproductive Age ◽

Breast Diseases ◽

Breast Lesions ◽

Cross Sectional ◽

Early Management ◽

Benign Breast Diseases

Background: Benign breast disease is one of the most common lesions of breast in the reproductive age group. Fine needle aspiration cytology (FNAC) is one of the preliminary tests done to detect breast lesions which help in early detection and management. Studying the cytology and histopathology features of various benign breast diseases was the aim of this study.Methods: This study is a cross sectional retrospective study conducted in Department of Pathology during September 2016 to February 2017. Clinical details, cytology and histopathology features were collected from the Department records.Results: A total of 82 cases were collected during the study period. Age groups ranged from 16-40 years. Majority of cases were females and two cases were males. Spectrum of lesions was composed of fibroadenoma, fibrocystic change, breast abscess, benign phyllodes tumor and gynecomastia. Histopathology was done in 41 cases. There was good correlation between cytology and histopathology in this study.Conclusions: Breast lumps are a common cause of anxiety and apprehension among patients. FNAC helps in rapid diagnosis and early management of lesions. It also helps in preventing unnecessary invasive surgeries in non-neoplastic and benign breast diseases.

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“Incidence and Prognosis of Breast Cancer among the Females of Islamabad”

International Journal of Cancer Research & Therapy ◽

10.33140/ijcrt.04.01.2 ◽

2019 ◽

Vol 4 (1) ◽

Keyword(s):

Breast Cancer ◽

Oil And Gas ◽

Medical Center ◽

Age Groups ◽

Life Time ◽

Cross Sectional Study ◽

Oil And Gas Development ◽

Cross Sectional ◽

Common Cancer ◽

Stage 4

Breast cancer is the most common cancer in women worldwide. It is estimated that more than 1.7 million new cases of breast cancer occurred among women worldwide. The disease occurs almost entirely in women, but men can get it, too. For men the life time risk of getting breast cancer is 1 in 1000. A cross sectional study on Breast cancer was carried out in the medical center of Oil and Gas Development Company Islamabad. The purpose of this study was to find out the incidence of breast cancer in different age groups of females and its response to the available treatment in Pakistan. The period of study was from July 2017 to June 2018. Total numbers of 210 females screened were between the ages of 25-65 years; with different complaints related to their breast. 29 females (14%) were found having breast cancer. 10 patients were with stage 4. Five of them were between the ages of 30-40 years, one was 28 years and four patients were between the ages of 41-65 years. Stage 3 patients were 5 (17.2%), two (40%) were between the ages of 30-40 years and three patients (60%) were between the ages of 41-65 years. However stage 2 patients were 13 (44.8%). Among the 13 stage 2 patients seven (54%) were between the ages of 30-40 years and six (46%) were between the ages of 41-65 years.

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