Durdiyeva Muhabbet Koralp, Besim Hasan, Arslan Kalbim, Özkayalar Hanife, Yılmaz Güliz, Mocan Gamze Kuzey, Bulakbaşı Nail
Department of Radiology, Near East University Hospital Faculty of Medicine, Kuzey Kıbrıs TC.
Department of General Surgery, Near East University Hospital Faculty of Medicine, Kuzey Kıbrıs TC.
J Breast Health. 2015 Jan 1;11(1):22-25. doi: 10.5152/tjbh.2014.2295. eCollection 2015 Jan.
This study is about determination and eveluation of the breast cancer cases which were diagnosed during the early diagnosis and screening programs covering a three years of digital mammography images at the Near East University Hospital.
This study covers 2136 women patients who applied to the early diagnosis and screening program of the Near East University Hospital between July 2010 and July 2013. The mamographic images were re evaluated retrospectively according to ACR's (The American College of Radiology) BİRADS (Breast Imaging Reporting and Data System). The mamographic results as required were correlated with breast ultrasound (US) and compared with the pathologic results of materials obtained by surgery or biopsy. The results were analyzed statistically in comparison with the literature data.
The women who were screened aged between 34-73 years with a median of 53.5 (SD = 27.5). Suspected malignancy were evaluated in 54 patients, which 42 of them were diagnosed BIRADS 4 and 12 patients BIRADS 5 and 21 patients were correleted breast cancer based on histopathologic examination. 17 patients had the breast-conserving surgery and 4 patients were treated with mastectomy.
Breast cancers that are detected at early stages by breast cancer screening tests are more likely to be smaller and still confined to the breast resulting in more simple operations and more succesfull treatment. Promoting the breast cancer screening and registration programs in our country will help to control the desease at our region.
本研究旨在确定和评估在近东大学医院为期三年的数字化乳腺钼靶图像早期诊断和筛查项目中被诊断出的乳腺癌病例。
本研究涵盖了2010年7月至2013年7月期间申请近东大学医院早期诊断和筛查项目的2136名女性患者。根据美国放射学会(ACR)的乳腺影像报告和数据系统(BIRADS)对乳腺钼靶图像进行回顾性重新评估。根据需要将乳腺钼靶检查结果与乳腺超声(US)相关联,并与手术或活检获取材料的病理结果进行比较。将结果与文献数据进行统计学分析。
接受筛查的女性年龄在34 - 73岁之间,中位数为53.5岁(标准差 = 27.5)。对54例疑似恶性肿瘤患者进行了评估,其中42例被诊断为BIRADS 4类,12例为BIRADS 5类,21例经组织病理学检查确诊为乳腺癌。17例患者接受了保乳手术,4例患者接受了乳房切除术。
通过乳腺癌筛查测试早期发现的乳腺癌更有可能体积较小且仍局限于乳房,从而导致手术更简单、治疗更成功。在我国推广乳腺癌筛查和登记项目将有助于在我们地区控制这种疾病。