Clinical Profile of Female Patients Presented with Breast Diseases: An Institutional Analysis in Baghdad, Iraq
DOI:
https://doi.org/10.54133/ajms.v8i1.1597Keywords:
Breast Disease, Institutional analysis, Mammogram, Medical recordAbstract
Background: Female patients may complain of breast symptoms throughout their lives. These lesions are mostly benign. Benign breast lesions are much more common than breast cancer throughout the world. Objectives: to assess the frequency, pattern, and clinical presentation of breast diseases among female patients attending the breast clinic in one of the largest teaching hospitals in Baghdad, Iraq, during 2023. Methods: All cases that visited the breast clinic at Al-Imamein Al-Kadhmain Medical City Hospital, Iraq, in 2023 had their case files reviewed as part of a cross-sectional descriptive survey. Results: The total number of patients was 7526. For benign breast disease, the mean age of presentation was 36.4 years. And for malignant breast disease, it was 43.5 years. 49.8% of them presented with pathological symptoms, and 51.4% of the total patients came for follow-up visits, 999 Patients (13.2%) were examined using mammograms after referral by the specialist physician. The mammogram showed that 48% of them had a normal exam, and 37.5% were found to have a benign disease. 0.46% had a malignant disease, and only 17% were found to be suspected cases. 367 patients (36.7%) continued their work up inside the hospital and did FNAC and/or biopsy for a definite diagnosis; 10.3% showed malignant cells, and 88.2% were benign diseases of the breast. Conclusions: Benign diseases were the most common type, and breast mass was the main clinical presentation of both benign and malignant diseases.
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Al-Asadi JN, Ibrahim SJ. Childhood cancer in Basrah, Iraq during 2012-2016: Incidence and mortality. Asian Pac J Cancer Prev. 2018;19(8):2337-2341. doi: 10.22034/APJCP.2018.19.8.2337.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018; 68:394–424. doi: 10.3322/caac.21492 DOI: https://doi.org/10.3322/caac.21492
American Cancer Society. Cancer Facts and Figures 2019. American Cancer Society; Atlanta, GA, USA: 2019. Available at: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2019/cancer-facts-and-figures-2019.pdf
Mehmood T, Anwar MI, Laique MH, Javed D, Askari A, Rizwan M. (2023). Clinico-epidemiological profile of patients presented with breast lesions: An institutional analysis. J Popul Ther Clin Pharmacol. 2023;30(19):1296–1301. doi: 10.53555/jptcp.v30i19.3833. DOI: https://doi.org/10.53555/jptcp.v30i19.3833
GBD 2015 Eastern Mediterranean Region Cancer Collaborators. Burden of cancer in the Eastern Mediterranean Region, 2005–2015: Findings from the Global Burden of Disease 2015 Study. Int J Public Health. 2018;63:151–164. doi: 10.1007/s00038-017-0999-9. DOI: https://doi.org/10.1007/s00038-017-0999-9
Zahedi R, Molavi Vardanjani H, Baneshi MR, Haghdoost AA, Malekpour Afshar R, et al. Incidence trend of breast cancer in women of eastern Mediterranean region countries from 1998 to 2019: A systematic review and meta-analysis. BMC Womens Health. 2020;20(1):53. doi: 10.1186/s12905-020-00903-z. DOI: https://doi.org/10.1186/s12905-020-00903-z
Lei S, Zheng R, Zhang S, Chen R, Wang S, Sun K, et al. Breast cancer incidence and mortality in women in China: temporal trends and projections to 2030. Cancer Biol Med. 2021;18(3):900–909. doi: 10.20892/j.issn.2095-3941.2020.0523. DOI: https://doi.org/10.20892/j.issn.2095-3941.2020.0523
Lima SM, Kehm RD, Terry MB. Global breast cancer incidence and mortality trends by region, age groups, and fertility patterns. EClin Med. 2021;38:100985. doi: 10.1016/j.eclinm.2021.100985. DOI: https://doi.org/10.1016/j.eclinm.2021.100985
Alwan NA, Tawfeeq FN, Mallah NA. Demographic and clinical profiles of female patients diagnosed with breast cancer in Iraq. J Contemp Med Sci. 2019;5(1). DOI: https://doi.org/10.22317/jcms.v5i1.544
Alwan N, Kerr D. Cancer control in war-torn Iraq. Lancet Oncol. 2018;19:291–292. doi: 10.1016/S1470-2045(18)30135-9. DOI: https://doi.org/10.1016/S1470-2045(18)30135-9
Baburin A, Aareleid T, Rahu M, Reedik L, Innos K. Recent changes in breast cancer incidence and mortality in Estonia: Transition to the west. Acta Oncol. 2016;55(6):728-733. doi: 10.3109/0284186X.2015.1125014. DOI: https://doi.org/10.3109/0284186X.2015.1125014
Hashim HT, Ramadhan MA, Theban KM, Bchara J, El-Abed-El-Rassoul A, Shah J. Assessment of breast cancer risk among Iraqi women in 2019. BMC Womens Health. 2021;21(1):412. doi: 10.1186/s12905-021-01557-1. DOI: https://doi.org/10.1186/s12905-021-01557-1
Yousif ZH, Yacoub SE. Patterns of breast diseases among women attending breast diseases diagnosing center in Erbil city/Iraq. Global J Health Sci. 2018;10(4):1141-1144. doi: 10.5539/gjhs.v10n4p114. DOI: https://doi.org/10.5539/gjhs.v10n4p114
Taha RS, Khorsheed F. Dyslipidemia and benign breast diseases. Duhok Med J. 2023;16(2):46-54. DOI: https://doi.org/10.31386/dmj.2022.16.2.5
Fares MY, Salhab HA, Khachfe HH, Khachfe HM. Breast cancer epidemiology among Lebanese women: An 11-year analysis. Medicina (Kaunas). 2019;55(8):463. doi: 10.3390/medicina55080463. DOI: https://doi.org/10.3390/medicina55080463
Labani S, Asthana S, Srivastava A, Vohra P, Bhatia D. Incidence and trends of breast and cervical cancers: A Joinpoint regression analysis. Indian J Med Paediatr Oncol. 2020;41:654–662 DOI: https://doi.org/10.4103/ijmpo.ijmpo_83_20
Abood RA, Abdahmed KA, Mazyed SS. Epidemiology of different types of cancers reported in Basra, Iraq. Sultan Qaboos Univ Med J. 2020;20(3):e295-e300. doi: 10.18295/squmj.2020.20.03.008. DOI: https://doi.org/10.18295/squmj.2020.20.03.008
Prabakar MS, Prakasam N, Reshma S, Loganathan K, Palani V. A clinical study of serum lipid profile in benign breast disease in a tertiary care hospital. Int Surg J. 2019;6:3162-3164. DOI: https://doi.org/10.18203/2349-2902.isj20193603
Hartman M, Czene K, Reilly M, Adolfsson J, Bergh J, Adami HO, et al. Incidence and prognosis of synchronous and metachronous bilateral breast cancer. J Clin Oncol. 2007;25(27):4210-4216. doi: 10.1200/JCO.2006.10.5056. DOI: https://doi.org/10.1200/JCO.2006.10.5056
Olaejirinde O, Soremekun I, James O. (2023). Fibroepithelial tumours of the breast seen in a tertiary health center in southwestern Nigeria. Int J Res Med Sci. 2023;11:2789-2795. doi: 10.18203/2320-6012.ijrms20232405. DOI: https://doi.org/10.18203/2320-6012.ijrms20232405

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