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尼泊尔女性乳腺癌筛查:一项横断面研究

Screening of Breast among Women: A Cross-Sectional Study in Nepal.

作者信息

Shah Sangam, Dahal Krishna, Pangeni Paras, Niroula Sandhya, Paudel Kiran, Subedi Prativa, Dhakal Sarita, Mandal Prince, Rawal Laba, Bhatta Nikita, Shrestha Anisha, Bhattarai Ganesh, Bhandari Pragya

机构信息

Tribhuvan University, Institute of Medicine, Maharajgunj 44600, Nepal.

Central Department of Public Health, Maharajgunj 44600, Nepal.

出版信息

Breast J. 2024 May 20;2024:9969169. doi: 10.1155/2024/9969169. eCollection 2024.

Abstract

BACKGROUND

Breast cancer ranks as the second most prevalent malignancy among women in Nepal. This cancer has a high likelihood of cure, if detected early. Therefore, it is imperative to emphasize awareness and screening for breast cancer in Nepal. It indeed underscores the importance of clinical breast examination. The study aims to find the disease burden, association of abnormal breast condition with sociodemographic variables, and the need for change in the breast cancer screening protocol.

METHODS

A cross-sectional study was conducted from July to September 2023 on 100 female participants who were older than 18 years. Data were collected through face-to-face interviews using a structured questionnaire. The chi-square test was used to compare nominal variables while the independent sample -test and the paired sample -test were used to compare nominal and continuous variables.

RESULTS

The findings of the study showed that 19% of all participants complained about abnormal breast, out of which 31.7% reported lumps, 26.31% reported discharge , another 26.31% reported pain, and the remaining 15.7% reported soreness. The upper outer quadrant and lower inner quadrant each individually accounted for 33.33% of the abnormal findings. The complaints of the participants in our study were significantly correlated with age at marriage, number of pregnancies, and use of contraception.

CONCLUSION

Our study revealed considerable abnormal breast findings. This warrants the need for the change in breast cancer screening protocols which lead to early diagnosis and higher curability.

摘要

背景

乳腺癌是尼泊尔女性中第二常见的恶性肿瘤。如果早期发现,这种癌症治愈的可能性很高。因此,在尼泊尔强调乳腺癌的意识和筛查至关重要。这确实凸显了临床乳房检查的重要性。该研究旨在发现疾病负担、乳房异常状况与社会人口统计学变量之间的关联,以及乳腺癌筛查方案改变的必要性。

方法

2023年7月至9月对100名年龄超过18岁的女性参与者进行了一项横断面研究。通过使用结构化问卷进行面对面访谈收集数据。卡方检验用于比较名义变量,而独立样本t检验和配对样本t检验用于比较名义变量和连续变量。

结果

研究结果显示,所有参与者中有19%抱怨乳房异常,其中31.7%报告有肿块,26.31%报告有溢液,另有26.31%报告有疼痛,其余15.7%报告有压痛。上外象限和下内象限分别占异常发现的33.33%。我们研究中参与者的抱怨与结婚年龄、怀孕次数和避孕措施的使用显著相关。

结论

我们的研究揭示了相当多的乳房异常发现。这表明需要改变乳腺癌筛查方案,以实现早期诊断和更高的治愈率。

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本文引用的文献

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Breast Cancer in Nepal: Current status and future directions.尼泊尔的乳腺癌:现状与未来方向。
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