Mammography: a review of records in the Department of Radiology at a National Referral Hospital in Uganda.
Mammography: a review of records in the Department of Radiology at a National Referral Hospital in Uganda.
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DOI：
10.11604/pamj.2014.18.89.3237
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Mutungi B
中科院分区：
文献类型：
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作者：
Kiguli-Malwadde E;Mubuuke RG;Bugeza S;Mutungi B
乳腺癌是世界范围内女性的主要癌症之一。虽然发达国家的死亡率有所下降，存活率有所提高，但乳腺癌的死亡率仍然是许多发展中国家面临的一个重大健康挑战。在乌干达，没有筛查方案，在许多情况下，乳房X线照相术被用于诊断目的。本研究的目的是描述的临床表现和乳房摄影乳腺密度模式的妇女提出的放射科乳房摄影在国家转诊医院。这是一项2011年1月至2012年1月在乌干达Mulago医院进行的回顾性研究。审查了在此期间接受乳房X线检查的患者的记录。患者总数为382例，平均年龄为46岁。大多数表现为乳房疼痛和肿块。大多数女性的乳房X线检查正常，脂肪乳腺密度占主导地位。在乌干达，乳房X光检查主要用于诊断目的。乌干达没有乳房X光检查方案，许多妇女无法获得这项服务，原因是其供应和费用有限，尽管这项服务在乳腺癌管理中具有重要意义。因此，乌干达政府和其他地区的政府都需要支持定期进行乳房X光检查，以此作为降低乳腺癌死亡率的一种方式。
Breast cancer is one of the leading cancers amongst women world-wide. Although mortality has been reduced and survival rates increased in developed countries, mortality rates from breast cancer are still a major health challenge for many developing countries. In Uganda, there are no screening programmes and in many cases mammography is used for diagnostic purposes. The purpose of this study was to describe the clinical presentations and mammographic breast density patterns amongst women that presented to the radiology department for mammography at a national referral hospital. This was a retrospective study carried out at Mulago Hospital in Uganda between January 2011 and January 2012. Records for patients who had mammography during this period were reviewed. The total number of patients was 382 with a mean age of 46 years. Majority presented with breast pain and masses. Mammograms done were normal in majority of the women with fatty breast density dominating. In Uganda, mammography was mainly performed for diagnostic purposes. There is no mammography screening programme in Uganda and many women cannot access the service due to its limited availability and costs despite its significance in breast cancer management. There is therefore need for governments in Uganda, but in other areas as well to support regular mammography screening as a way of reducing mortality from breast cancer.