Ultrasound and Mammographic Findings of Contra lateral Breast in Iraqi Patients Underwent Mastectomy for Breast Cancer
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Background:prolonged lifeafter breast cancer management and repetitive use of contra-lateral breast ultrasonography on follow up those patients has led to increase the incidence of metachronous and synchronous breast cancer detection. Objective:is to assess the role of ultrasound in thorough assessment of other breast in patient previously underwent mastectomy for breast cancer. Patients and method: this is a cross sectional study which include100 patients who underwent mastectomy ,the study was done from the period between October 2016 to September 2017 in radiological unit - oncology teaching hospital /medical city complex where the patients were referred from oncology clinic for follow up of previous mastectomy site and scanning of contralateral breast for any lesion. Results:the mean age of 100 patients who underwent the study is 53 years, the result show that majority of the patients are in 5th and 6th decades ( 27% and 35% respectively), 29 patients had 1st to 3rd degree relative having breast cancer in the past ,from those 58% are 1st degree and 24 % 2nd degree. Regarding the ultrasound finding of contralateral breast,88% reveals normal fibrofatty breast architecture,of them 86% are in BIRADS I and II, the remaining 12% have fibroglandular breast texture of those 2 % reported as III and 10% BIRADS IV and V. Mass seen in 14 cases , 11 of them are well circumscribed ,of those 5 are malignant and other are benign ( simple cysts and fibroadenomas ), 3 are poorly defined outline ,two are malignant and one is fibrocystic area. Lymph nodes with benign criteria seen in 5 cases , 4 cases have malignant criteria ,their histopathology revealmetastatic carcinoma in all. Mammography reveals finding in concordance with that of ultrasound with P value of 0. Conclusion:breast cancer is the leading cause of death from cancer among the Iraqi women, regular follow up by breast ultrasound is mandatory to assess the mastectomy site and contralateral breast for any lesion whether benign, malignant or metastatic to contralateral axillary lymph nodes ,in addition the ultrasound is and especially when performed by professional radiologist remains the main and high yielding tool for analysis the breast, mammography is better to start with when there is normal physical examination and if it shows abnormal or suspicious are we can do target ultrasound scanning of this area.
Authors and Affiliations
Khaleel Ibraheem Mohson, InaamAzeez Khaleel, Baydaa Riyadh
Keywords
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- EP ID EP435890
- DOI 10.9790/1959-0702086872.
- Views 124
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