Akande Halimat Jumai, Olafimihan Bola Bamidele, Oyinloye Olalekan Ibikun
Department of Radiology, College of Health Sciences, Faculty of Clinical Science, University of Ilorin/Teaching Hospital, Ilorin, Kwara, Nigeria.
Niger Med J. 2015 May-Jun;56(3):213-7. doi: 10.4103/0300-1652.160401.
Breast imaging plays a vital role in the multidisciplinary approach to management of breast disease. A baseline data is apt and necessary for collaborative studies.
This is a prospective descriptive study carried out between January 2009 and December 2013 at our institution. Patients who had breast imaging were recruited into the study. Film-screen mammograms were acquired with a General Electric (GE) Senographe DMR machine. Breast ultrasound done using an Aloka Prosound SSD-350+ ultrasound machine equipped with linear and curvilinear 7.5-10 MHz transducer. Findings were categorized using the ACR-BIRADS (American college of Radiologists-Breast imaging reporting and data system). Data was collated and analysed using social statistical package (SPSS) version 17.
The mammograms of 824 patients were evaluated during this study period. Their age ranged from 40-85 years with a mean age of 50.9 ± 8.1 years. Eight hundred and sixteen (99%) were females and eight (1%) were males. The commonest clinical indication was breast lump (23.9%). The commonest density pattern was BIRADS 2-scattered fibroglandular pattern (43.9%). Mammograms were normal in 266 (32.3%) and positive in 558 (67.7%). The final BIRADS assessment showed BIRADS 0, 1, 2, 3, 4, 5 and 6 constituted 6.6%, 30.1%, 29.7%, 22.2%, 5.9%, 5.0% and 0.5% respectively.
The level of awareness of breast cancer is quite high with the positive mammographic yield emphasizing the value of a multidisciplinary approach in the management of breast diseases.
乳腺成像在乳腺疾病多学科管理方法中起着至关重要的作用。基线数据对于合作研究而言恰当且必要。
这是一项于2009年1月至2013年12月在我们机构开展的前瞻性描述性研究。招募进行了乳腺成像的患者入组研究。使用通用电气（GE）Senographe DMR机器获取乳腺钼靶片。乳腺超声检查采用配备7.5 - 10 MHz线性和曲线探头的阿洛卡Prosound SSD - 350 +超声机器进行。使用美国放射学会乳腺影像报告和数据系统（ACR - BIRADS）对检查结果进行分类。使用社会统计软件包（SPSS）17版整理和分析数据。
在本研究期间评估了824例患者的乳腺钼靶片。他们的年龄在40 - 85岁之间，平均年龄为50.9±8.1岁。816例（99%）为女性，8例（1%）为男性。最常见的临床指征是乳腺肿块（23.9%）。最常见的密度模式是BIRADS 2级——散在纤维腺体型（43.9%）。266例（32.3%）乳腺钼靶片正常，558例（67.7%）呈阳性。最终的BIRADS评估显示，BIRADS 0、1、2、3、4、5和6级分别占6.6%、30.1%、29.7%、22.2%、5.9%、5.0%和0.5%。
乳腺癌的知晓水平相当高，乳腺钼靶片的阳性率凸显了多学科方法在乳腺疾病管理中的价值。
