Patterns of Breast Diseases Among Women Attending Breast Diseases Diagnosing Center in Erbil City/Iraq

Zena Habeeb Yousif,Selwa Elias Yacoub

doi:10.5539/gjhs.v10n4p114

Abstract

BACKGROUND & OBJECTIVES: Breast diseases in women, whether benign or malignant, are very commonly encountered. The pattern of breast diseases varies within countries. The aim of this study was to identify the patterns of breast diseases and their association with different variables in women attending breast diseases diagnosing center in Erbil city/Iraq.MATERIAL & METHODS: A cross-sectional study conducted at breast diseases diagnosing center in Erbil city from 1st of April till 1st of December /2017. A random sample of 500 women of all age groups and with complete records was recruited. The women were classified according to their final diagnosis into 3 categories: normal, benign and malignant breast disease. The level of significance was <0.05.RESULTS: Benign breast diseases diagnosed among (63%) women while malignant breast diseases comprised (13.2%).The most common presentation was mastalgia and mass (39.2%), mastalgia (37.6%), and mass alone (23.2%). Fibro-adenoma (26.2%) was the commonest benign condition with highest incidence (76.9%) in age group less than 20 years. Malignant breast diseases were increasing with age. Benign breast disease associated (p <0.001) with Nulliparity. Breast cancer reported (p <0.001) more among lactating women.CONCLUSIONS: Benign conditions are the most common diagnosis affecting mainly younger women. Breast cancer though diagnosed less frequently and affecting older age groups, yet its seriousness mandating a thorough assessment of women of different presentations especially that of mass alone or with mastalgia.

Highlights

Breast diseases are a common heterogeneous group of illnesses alternating from self -limiting inflammatory diseases to life threatening invasive cancers (Guray & Sahin, 2006)
Breast cancer though diagnosed less frequently and affecting older age groups, yet its seriousness mandating a thorough assessment of women of different presentations especially that of mass alone or with mastalgia
The pattern of breast diseases and their etiology varies among different countries and ethnic groups (Aslam et al, 2013).In this study the pattern of breast diseases among women attending breast diagnosing center in Erbil city /Iraq had been identified, nearly two thirds (63%) of them were diagnosed as benign breast diseases while 13.2% found to have breast cancer, these results were nearly similar to two studies conducted in Nigeria (Mayun, Pindiga, & Babayo, 2008; Uwaezuoke & Udoye, 2014) while other studies conducted in India (Rasheed et al, 2014) and Tanzania (Chalya et al, 2016) showed slightly higher proportions of both benign breast diseases; (80.7%), (80,4%) and that of breast cancer (22.2 %), (19.6%) respectively

Summary

Introduction

Breast diseases are a common heterogeneous group of illnesses alternating from self -limiting inflammatory diseases to life threatening invasive cancers (Guray & Sahin, 2006). Breast diseases are viewing an escalating trend worldwide (Rasheed, Sharma, Mohsin-ul-Rasool, Hafiz, & Bashir, 2014). This can be due to increasing community consciousness of breast cancer which is currently the most common female malignancy worldwide (Parkin, Bray, Ferlay, & Pisani, 2005). While benign breast diseases are mainly perceived in women of reproductive age, the incidence is common mostly in the second decade with attainment on its greatest at fourth and fifth decade of life (Aslam et al, 2013; Chalya et al, 2016). The aim of this study was to identify the patterns of breast diseases and their association with different variables in women attending breast diseases diagnosing center in Erbil city/Iraq

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Discussion

Conclusion