Emmanuel Kobina Mesi Edzie, Klenam Dzefi-Tettey, Philip Narteh Gorleku, Adu Tutu Amankwa, Eric Aidoo, Kwasi Agyen-Mensah, Ewurama Andam Idun, Frank Quarshie, Joshua Mensah Kpobi, Henry Kusodzi, Richard Ato Edzie, Abdul Raman Asemah
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引用次数: 3
Abstract
Breast diseases have been one of the major battles the world has been fighting. In winning this fight, the role of medical imaging cannot be overlooked. Breast imaging reveals hidden lesions which aid physicians to give the appropriate diagnosis and definitive treatment, hence this study, to determine the clinical and imaging findings of breast examinations to document the radiologic features in our setting. This cross-sectional retrospective study reviewed the sociodemographics, imaging reports (mammography and ultrasonography with BI-RADS scores and their features), and the clinical data of 425 patients from September 2017 to September 2020 in the Cape Coast Teaching Hospital. 72 solid lesions with their histology reports were also reviewed. Data obtained were organized, coded, and analyzed using Statistical Package for Social Sciences (SPSS Inc., Chicago, IL, USA) version 20.0. The results obtained were presented in appropriate tables and charts. A chi-squared test was employed for associations and statistical significance was specified at p ≤ 0.05. 63.29% of the patients were married, but only 18.59% had a positive family history of breast cancer. BI-RADS scores 1(57.46%) and 2(27.99%) were the most recurrent findings. The most common BI-RADS 2, 3, 4, and 5 imaging features were benign-looking axillary lymph nodes (66.33%), well-defined solid masses (61.54%), ill-defined solid masses (42.86%), and ill-defined solid masses with suspicious-looking axillary lymph nodes (100.00%), respectively. The most frequent indications were routine screening (49.18%), mastalgia (26.59%), and painless breast masses (19.77%). There was significant association between duration of symptoms and breast cancer (p value = 0.007). In conclusion, routine breast screening and mastalgia were the topmost indications for breast imaging. BI-RADS 1 and 2 were the commonest BI-RADS scores, and benign-looking axillary lymph nodes and simple cysts were the most frequent imaging features for BI-RADS 2 and ill-defined solid masses and suspicious-looking axillary lymph nodes for BI-RADS 4 and 5.
乳房疾病一直是全世界一直在进行的主要战斗之一。在赢得这场斗争中,医学成像的作用不容忽视。乳腺成像显示隐藏的病变,帮助医生给出适当的诊断和明确的治疗,因此本研究旨在确定乳腺检查的临床和影像学结果,以记录我们的放射学特征。本横断面回顾性研究回顾了2017年9月至2020年9月Cape Coast教学医院425例患者的社会人口统计学、影像学报告(乳房x光检查和超声检查BI-RADS评分及其特征)和临床数据,并对72例实性病变及其组织学报告进行了回顾。使用Statistical Package for Social Sciences (SPSS Inc., Chicago, IL, USA) 20.0版本对获得的数据进行组织、编码和分析。所得结果以适当的表格形式呈现。相关性采用卡方检验,p≤0.05为统计学显著性。63.29%的患者已婚,但仅有18.59%的患者有乳腺癌家族史。BI-RADS评分1分(57.46%)和2分(27.99%)是最常见的复发率。最常见的BI-RADS 2、3、4、5影像特征分别为:腋窝淋巴结良性(66.33%)、定义明确的实性肿块(61.54%)、不明确的实性肿块(42.86%)、不明确的实性肿块伴可疑腋窝淋巴结(100.00%)。最常见的指征是常规筛查(49.18%)、乳房疼痛(26.59%)和无痛性乳房肿块(19.77%)。症状持续时间与乳腺癌之间存在显著相关性(p值= 0.007)。总之,常规乳腺筛查和乳房疼痛是乳房影像学的首要指征。BI-RADS 1和2是最常见的BI-RADS评分,BI-RADS 2最常见的影像学特征是良性腋窝淋巴结和单发囊肿,BI-RADS 4和5最常见的影像学特征是模糊的实性肿块和可疑的腋窝淋巴结。
期刊介绍:
International Journal of Breast Cancer is a peer-reviewed, Open Access journal that provides a forum for scientists, clinicians, and health care professionals working in breast cancer research and management. The journal publishes original research articles, review articles, and clinical studies related to molecular pathology, genomics, genetic predisposition, screening and diagnosis, disease markers, drug sensitivity and resistance, as well as novel therapies, with a specific focus on molecular targeted agents and immune therapies.