Clegg-Lamptey J N A, Edusa C, Ohene-Oti N, Tagoe J A
Department of Surgery, Korle Bu Teaching Hospital, University of Ghana Medical School, P.O. Box 4236, Accra, Ghana.
East Afr Med J. 2007 May;84(5):215-8. doi: 10.4314/eamj.v84i5.9528.
To determine the risk of breast cancer in patients presenting with breast pain in Accra, Ghana.
Retrospective clinical study.
A self-referral breast clinic in Accra, Ghana.
Patients with breast pain as a presenting complaint, between January 2001 and December 2005.
Patients were investigated by triple assessment.
There were 447 patients with pain, 322 as the only symptom and 125 in addition to other symptoms like breast lump and nipple discharge. Patients with pain only were found to have no detectable abnormality 203 (63%) and fibroadenosis 78 (24.2%) as the most common diagnoses. Breast cancer was found in four (1.24%) of them, all of whom had abnormality on clinical breast examination. In patients with pain as well as other symptoms the common diagnoses were fibroadenosis 25 (20%), breast cancer 20 (16%) and normal 18 (14.4%).
The risk of breast cancer is significantly higher in patients presenting with breast pain in addition to other symptoms, compared to patients with breast pain as the only symptom (16% and 1.24% respectively P < 0.0001). Patients with breast pain should always have breast examination and not simply reassured. Women should be encouraged to do breast self examination.
确定加纳阿克拉出现乳房疼痛的患者患乳腺癌的风险。
回顾性临床研究。
加纳阿克拉一家自我转诊的乳腺诊所。
2001年1月至2005年12月期间以乳房疼痛为主诉的患者。
对患者进行三联评估。
有447例疼痛患者，322例仅有疼痛这一症状，125例除乳房疼痛外还有乳房肿块和乳头溢液等其他症状。仅出现疼痛症状的患者中，203例（63%）未发现可检测到的异常，78例（24.2%）诊断为纤维腺病，最为常见。其中4例（1.24%）被诊断为乳腺癌，所有这些患者在临床乳腺检查中均有异常。有疼痛及其他症状的患者中，常见诊断为纤维腺病25例（20%）、乳腺癌20例（16%）、正常18例（14.4%）。
与仅有乳房疼痛症状的患者相比，除有乳房疼痛外还伴有其他症状的患者患乳腺癌风险显著更高（分别为16%和1.24%，P<0.0001）。有乳房疼痛的患者应始终接受乳腺检查，而不能仅仅给予安慰。应鼓励女性进行乳房自我检查。
