Abstract

Breast cancer is the most frequently diagnosed malignant neoplasm among females. The proportion of women diagnosed in the premenopausal period is relatively small. Nevertheless, this is the most commonly diagnosed cancer among young women. The aim of the study was to analyze the incidence rate of breast cancer in a group of young women based on data obtained in the Lower Silesian Voivodeship between 1984 and 2016. A total of 34,251 women with a diagnosis of invasive breast cancer were analyzed. The median age of diagnosis exhibited an upward trend from 57 to 63. The youngest age of breast cancer diagnosis did not decrease. Women up to the age of 24 were sporadically diagnosed. Given the total number of cases, the proportion of women under the age of 39 was approximately 5%, and it did not increase throughout the entire examination period. The major increase in the growth trend during the analyzed period was observed in a group of women aged of 50–69 (regression coefficient: +24.9) and above 70 (regression coefficient +21.2). In a group of women under 40 the regression coefficient was only +4. It seems that breast cancer does not increasingly affect younger women since the risk in this age group remains low. However, an increasing incidence rate of breast cancer is more commonly observed in premenopausal women.

Highlights

  • Breast cancer is the most frequently diagnosed malignant neoplasm among women both in Poland and worldwide

  • The incidence rate increases most rapidly in the group over 50 years of age, which is probably related to the use of screening mammography

  • The analysis revealed a decrease in mortality in all age groups, the highest in the 50–69 age group

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Summary

Introduction

Breast cancer is the most frequently diagnosed malignant neoplasm among women both in Poland and worldwide. According to GLOBOCAN data, in 2018, approximately 2.1 million women were diagnosed with breast cancer, which constitutes 11.6% of all malignant neoplasms. It means that 1 out of 4 women with a neoplasm is currently suffering from breast cancer [1]. There were 18,529 newly diagnosed breast cancer cases in Poland in 2017, which constitutes 22.5%. Of all cancers cases among women [2,3]. This malignant neoplasm is the second most common cause of cancer-related deaths in the world, just after lung cancer (626,679 cases −6.6%) [1]. In comparison in Poland it was 16% in 2017 [2]

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