Itanyi U D, Bagudu Z, Iloanusi N, Kaalu W O
Department of Radiology, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria. Email:
Medicaid Cancer Foundation, Plot 665, TOS Benson Crescent, Utako, Abuja, Nigeria.
West Afr J Med. 2024 Apr 30;41(4):381-386.
Despite the proven effectiveness of mammography in screening and early breast cancer detection, there is still a huge disparity in both access to breast care and the quality of services provided in Nigeria. Non-governmental organizations (NGOs) have attempted to bridge this gap through awareness campaigns and subsidized breast imaging services.
To document the mammographic findings of adult females in a private NGO and assess the benefits of mammography practice in our locality.
This was a retrospective evaluation of mammographic examinations carried out over a two-year period (January 2020- December 2021) in a private cancer foundation in Abuja, Nor t h Ce nt r al Nigeria. Demographic details, clinical and mammographic features were analyzed with a statistical level of significance set at p≤0.05.
The age range of 565 women evaluated in this study was 31-84 years with the majority (55.7%) of them in the 40-49 year range. More than half (52.7%) of the women had had at least one previous mammogram. Screening was the predominant indication for mammograms in 361 women (63.9%) while 204(36.1%) were symptomatic. Breast pain (59.6%) and breast lump (26.3%) were the most common clinical indications. The predominant breast density pattern was the American College of Radiologists Breast Imaging and Reporting Data System (ACR BIRADS) type B (Scattered fibroglandular densities) in 241 women (42.7%). Mammogram was normal in 206 women (34.7%) while 52 (8.8%) had intraparenchymal findings. The final assessment showed that most of the mammograms were BIRADS category 1(69.6%) and 2(13.8%) signifying normal and benign findings. Body mass index, parity, age at first pregnancy, menopausal status, and breast density had significant relationships with the final BIRADS category.
Mammography is an invaluable part of breast care in our locality. Evaluation of mammographic services in our private NGO showed a predominance of screening mammography while a majority of the women with symptomatic breast diseases had normal and benign findings.
尽管乳房X线摄影在乳腺癌筛查和早期检测方面已被证明有效，但在尼日利亚，获得乳房护理的机会和所提供服务的质量仍存在巨大差距。非政府组织（NGO）试图通过开展宣传活动和提供补贴乳房成像服务来弥合这一差距。
记录一家私立非政府组织中成年女性的乳房X线摄影检查结果，并评估在我们当地进行乳房X线摄影检查的益处。
这是对尼日利亚中部阿布贾一家私立癌症基金会在两年期间（2020年1月至2021年12月）进行的乳房X线摄影检查的回顾性评估。对人口统计学细节、临床和乳房X线摄影特征进行了分析，设定统计学显著性水平为p≤0.05。
本研究评估的565名女性年龄范围为31至84岁，其中大多数（55.7%）年龄在40至49岁之间。超过一半（52.7%）的女性此前至少进行过一次乳房X线摄影检查。在361名女性（63.9%）中，筛查是进行乳房X线摄影检查的主要指征，而204名（36.1%）有症状。乳房疼痛（59.6%）和乳房肿块（26.3%）是最常见的临床指征。在241名女性（42.7%）中，主要的乳房密度模式为美国放射学会乳房影像报告和数据系统（ACR BIRADS）B型（散在纤维腺密度）。206名女性（34.7%）的乳房X线摄影检查结果正常，而52名（8.8%）有实质内病变。最终评估显示，大多数乳房X线摄影检查结果为BIRADS 1类（69.6%）和2类（13.8%），表明为正常和良性结果。体重指数、产次、初孕年龄、绝经状态和乳房密度与最终的BIRADS类别有显著关系。
乳房X线摄影是我们当地乳房护理中一项非常重要的内容。对我们私立非政府组织的乳房X线摄影服务评估显示，筛查性乳房X线摄影占主导地位，而大多数有症状乳房疾病的女性检查结果为正常和良性。
