Mastalgia and Why It Should Be Evaluated With Imaging in Areas Where Use of Breast Cancer Screening Services are Unsatisfactory.

Shivangi Tomar, Akhilendra Singh Parihar, Sanjay Kumar Yadav, Rekha Agrawal
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Abstract

Objective: Mastalgia or breast pain is a very common symptom in women attending breast clinic. The aim of this study was to evaluate whether imaging for mastalgia leads to cancer detection in an area where routine breast cancer screening services are underutilized.

Materials and methods: This prospective study was performed between 1st March 2021 to 31st January 2023 at a tertiary care academic institution of central India. All patients underwent through clinical examination by a surgeon. Then patients were referred for ultrasound and/or X-ray mammography (MMG) depending on age. Cancer detection rate was calculated.

Results: The final cohort consisted of 176 patients with mastalgia and without any abnormality on clinical breast examination. Sixteen patients had mass lesion on radiology and core needle biopsy resulted as infiltrating duct carcinoma in 7 patients and benign phylloides tumor in one patient. Overall case detection rate for cancer was 4%.

Conclusion: The breast cancer detection rate in patients presenting with mastalgia was low. However, in the absence of routine mammographic screening in the Indian general population, these would have been missed. Hence, diagnostic assessment for mastalgia is an appropriate strategy in countries where routine screening MMG is lacking.

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乳腺增生症以及为何应在乳腺癌筛查服务不尽如人意的地区进行成像评估。
目的:乳痛症或乳房疼痛是乳腺门诊就诊妇女的常见症状。本研究的目的是评估在常规乳腺癌筛查服务利用率较低的地区,乳房疼痛的影像学检查是否会导致癌症的发现:这项前瞻性研究于 2021 年 3 月 1 日至 2023 年 1 月 31 日在印度中部的一家三级医疗学术机构进行。所有患者均由外科医生进行临床检查。然后,根据患者的年龄转介其接受超声波和/或 X 射线乳腺放射摄影(MMG)检查。计算癌症检出率:最终结果:176 名患者患有乳腺增生,临床乳房检查未见异常。16名患者在放射学检查中发现肿块病变,7名患者的核心针活检结果为浸润性导管癌,1名患者为良性植物瘤。癌症总检出率为 4%:结论:乳腺增生患者的乳腺癌检出率较低。结论:乳腺增生患者的乳腺癌检出率较低,但在印度普通人群中缺乏常规乳房 X 线照相筛查的情况下,这些患者可能会被漏诊。因此,在缺乏常规MMG筛查的国家,对乳腺痛进行诊断评估是一项适当的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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