Makanjuola Dorothy, Alkushi Abduulmohsen, Alzaid Manal, Abukhair Omalkhair, Al Tahan Fatina, Alhadab Abdulrahman
Department of Medical Imaging King Abdulaziz Medical City for National Guard, PO Box 22490 Riyadh, Saudi Arabia.
Department of Pathology, King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia.
Pan Afr Med J. 2014 Sep 16;19:35. doi: 10.11604/pamj.2014.19.35.2849. eCollection 2014.
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.
确定沙特阿拉伯王国利雅得有症状人群中30岁以下女性原发性乳腺癌的患病率。分析癌症病例的影像学特征和可能的风险因素。这个年龄组的乳腺癌通常很少见，人们对此了解并不清楚。
在利雅得的阿卜杜勒阿齐兹国王国民警卫队医疗城，从医学影像部门的乳房影像记录中收集了5年（2006年1月至2010年12月）的回顾性数据。确定了30岁以下的患者，包括患有乳腺癌的患者。以描述性方式分析临床表现、风险因素、影像学表现和最终结果。记录诊断为原发性乳腺癌的患者总数。
在接受检查的4873名30岁以下患者中，有17人患有原发性乳腺癌，每1000名有症状患者中的患病率为3.5。年龄范围为17至29岁，平均年龄为27岁。在此期间诊断出的原发性乳腺癌患者总数为413人，30岁以下患者中占4.1%（413人中的17人）。所有患者均以可触及肿块首次就诊，且乳房影像报告和数据系统（BI-RADS）明确为5类的影像学表现。8例为I期和II期癌症，9例为III期和IV期癌症。17例中只有2例有一级家族史。最年轻的患者为17岁。
在所研究的有症状人群中，原发性癌症的患病率为每1000人中有3.5例，该单位每100例诊断出的原发性癌症中有4例发生在30岁以下的女性中。所有病例均表现为首次就诊、家族特征低和典型的恶性影像学特征。
