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

IF 1.6 Q4 ONCOLOGY International Journal of Breast Cancer Pub Date : 2021-07-30 eCollection Date: 2021-01-01 DOI:10.1155/2021/6625239
Gerhard Stauch, Peter Fritz, Rauofi Rokai, Atiq Sediqi, Haroon Firooz, Hans Ullrich Voelker, Michael Weinhara, Joachim Mollin, Bishara Soudah, Peter Dalquen, Friedhelm Brinckmann, Jürgen Dippon
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引用次数: 3

Abstract

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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临床资料对阿富汗北部乳腺肿瘤诊断的重要性。
背景:本研究是在了解到资源有限的国家与检查方法日益成熟的发达国家在乳腺疾病治疗方面的差距越来越大的情况下进行的。方法:作者对2018年和2019年马扎里沙里夫和赫拉特的乳腺疾病诊断病例进行了分析。该研究共包括567例病例,这些病例通过远程医疗提交给专家进行最终诊断。62例(10.9%)因数据不可接受或图像质量不足而被排除。每日诊断分类提供的这些数据用于建立每一种常见乳房疾病的概况和乳腺癌登记册。所有图像和病例均由至少3名独立专家审阅。60%的病例通过细针穿刺细胞学检查确诊,40%的病例通过组织学检查确诊。结果:对于每一种乳腺疾病(如纤维腺瘤),构建了一个背景变量概况,以协助医疗决策,如“等待并观察”,选择性手术或立即手术干预R0(完全)切除。这些“特征”可用于纤维腺瘤、乳腺炎、半乳膨出、纤维囊性疾病和浸润性乳腺癌。结论:提出的初步数据集可以作为北阿富汗乳腺癌登记的成本效益基础,并可选择扩展到国家模型。这些初步数据被转化为乳腺疾病概况,供负责乳腺疾病患者的当地医生使用。每个新病例可以由当地治疗医生与所有相同诊断的既往病例的概况进行比较。
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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
25
审稿时长
19 weeks
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.
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