Department of Radiology/Surgery, College of Medicine, University of Sulaimani, 46001 Sulaimaniyah, Iraq.
J Int Med Res. 2022 Dec;50(12):3000605221139712. doi: 10.1177/03000605221139712.
Mammography is the gold standard screening procedure for the early diagnosis of breast cancer. This study aimed to determine the distribution of breast density among women older than 40 years in Sulaimaniyah, Iraq, and to examine the correlations between breast density and various risk factors.
This cross-sectional study included 750 women who received routine mammographic breast screening at Sulaimaniyah Breast Center. Bilateral standard two-view mammographic images (craniocaudal and mediolateral oblique projections) were acquired and reported using a picture archiving and communication system. American College of Radiology (ACR) Breast Imaging-Reporting and Data System (BI-RADS) assessment categories C and D were considered as dense.
A total of 54.3% of breasts were classified as dense, with ACR-BI-RADS categories C or D. Breast density was significantly associated with age, body mass index, a family history of breast cancer, and pre-menopause, and women with no history of breastfeeding were more likely to have dense breasts than those with partial or complete breastfeeding.
This study revealed that women from Sulaimaniyah with a distinct breast-density profile at mammographic screening may have a significantly increased risk of breast cancer.
乳腺 X 线摄影是乳腺癌早期诊断的金标准筛查程序。本研究旨在确定伊拉克苏莱曼尼亚 40 岁以上女性的乳腺密度分布，并研究乳腺密度与各种危险因素之间的相关性。
这是一项横断面研究，纳入了在苏莱曼尼亚乳腺中心接受常规乳腺 X 线筛查的 750 名女性。获取并使用图像存档和通信系统报告双侧标准双视图乳腺 X 线摄影图像（头尾位和内外斜位）。美国放射学院（ACR）乳腺成像报告和数据系统（BI-RADS）评估类别 C 和 D 被认为是致密的。
共有 54.3%的乳房被归类为致密型，ACR-BI-RADS 类别 C 或 D。乳腺密度与年龄、体重指数、乳腺癌家族史和绝经前显著相关，与部分或完全母乳喂养相比，无母乳喂养史的女性更有可能乳房致密。
本研究表明，在乳腺 X 线摄影筛查中具有明显乳腺密度特征的苏莱曼尼亚女性可能患乳腺癌的风险显著增加。
