Breast cancer in women younger than 30 years: prevalence rate and imaging findings in a symptomatic population.
Breast cancer in women younger than 30 years: prevalence rate and imaging findings in a symptomatic population.
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DOI：
10.11604/pamj.2014.19.35.2849
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Alhadab A
中科院分区：
文献类型：
--
作者：
Makanjuola D;Alkushi A;Alzaid M;Abukhair O;Al Tahan F;Alhadab A
目的：在沙特阿拉伯王国利雅得有症状的人群中，确定30岁以下女性的乳腺癌患病率。目的：分析癌症患者的影像特点及可能的危险因素。这个年龄段的乳腺癌通常很少见，也不清楚。在利雅得的阿卜杜勒阿齐兹国王国民警卫队医疗城，从医学成像部门的乳房成像记录中收集了一项回顾5年(2006年1月至2010年12月)的数据。年龄小于30岁的患者被确定，包括那些患有乳腺癌的患者。描述性地分析患者的临床表现、危险因素、影像表现和最终结果。记录被诊断为原发性乳腺癌的患者总数。在接受检查的4873名年龄在30岁以下的患者中，有17人患有原发乳腺癌，占每1000名有症状患者中的3.5人。年龄17~29岁，平均27岁。在此期间确诊的原发乳腺癌患者总数为413人，占30岁以下患者的4.1%(占413人中的17人)。首次出现明显肿块和明确的乳腺影像报告和数据系统(BI-RADS)第5类影像表现。8名患者为I期和II期，9名患者为III期和IV期癌症。17人中只有2人有一级家族史。最小的只有17岁。在研究的有症状人群中，每1000例原发癌症中有3.5例的患病率，该单位诊断的每100例原发癌症中有4例发生在30岁以下的妇女中。所有病例均有首发症状、低家族特征和典型的恶性肿瘤影像特征。
To identify the prevalence rate of primary breast cancer in women younger than 30 years of age in a symptomatic population in Riyadh, Kingdom of Saudi Arabia. To analyze the imaging pattern and possible risk factors in cases with cancer. Breast cancer in this age group is generally rare and not clearly understood. At King Abdulaziz Medical City for National Guard, Riyadh, a retrospective 5-year (January 2006 to December 2010) data was collected from the Medical Imaging departmental records on breast imaging. Patients younger than 30 years of age were identified including those with breast cancer. The clinical presentation, risk factors, imaging findings and final outcomes were analyzed in a descriptive way. The total number of patients diagnosed with primary breast cancer was recorded. Seventeen out of a total of 4873 patients younger than 30 years examined had primary breast cancer constituting a rate of 3.5 per 1000 symptomatic patients. The age range was 17 to 29 with mean of 27. The total number of patients with primary breast cancer diagnosed during that period was 413 making a percentage of 4.1% (17 out of 413) in those younger than 30 years. First presentation with a palpable mass and imaging findings of unequivocal category 5 of Breast Imaging Reporting and Data System (BI-RADS) occurred in all. Eight patients had stage I and II while nine had stage III and IV cancers. Only 2 of the 17 had first-degree family history. The youngest was 17 years old. A prevalence rate of 3.5 per 1000 primary cancer occurred in the symptomatic population studied and 4 in every 100 primary cancer diagnosed in the unit occurred in women younger than 30 years. First presentation, low family trait and typical imaging features of malignancy was found in all cases.