Women Breast Diseases in Karbala Epidemiology and Workup
Kerbala Journal of Medicine,
Volume 1, Issue 1, Pages 116-123
Background; Sixteen percent of women who are 40-70 years old consult the primary health clinics for breast symptoms, 4% of them are expected to have breast cancer. The cure rate is over 95% when the early breast cancers are properly treated at time.
Objectives; The epidemiology of women Breast diseases and the clinical workup to detect early breast cancer in Karbala.
Method; Retrospective analysis of the workup carried out for the surgical breast cases attending the surgical units and the EBCD center of Karbala health services, from10th October 2001-10th October 2005.
Results; Total case number was 3634. Sixty percent had inconclusive criteria The complaints were; breast pain in 67%, Mass in 57%, Nipple Discharge 10.7% and Breast Ulcer in 1.8% of the cases. The registered breast cancer cases were 46, they were advanced.
US examinations were 2017; 48.5% had Breast Masses (75%solid&25% cystic), the negative tests; 49.5% and 2% were equivocal.
Mammography exams; 157.
FNA Cytology exams were 190; conclusive in 61% and positive suspected cancer cells in 9.5%. There were 110 ND Cytology exams," none was positive".
Conclusion; the routine work of EBCD needs revision and activation of its objective. The diagnosed cases of breast carcinoma were late. Nipple Discharge Cytology is of no use in screening and diagnosing breast cancer, FNAC is independable in designing breast cancer treatment. There is a need to popularize the interventional radiological investigations and the Breast cancer Screening program.
Keywords: Karbala, Early Breast Cancer Detection, Breast Carcinoma, Nipple Discharge Cytology.
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