Aims and objectives
Background:
The incidence of breast cancer is strongly related to age,
increasing particularly post-menopause however few cases of breast cancer diagnosed in patients in their teens and early 20s (1) and the risk of developing breast cancer in the 15-24 age group is only 1 in 15,000 (2).
Large numbers of young women are referred to symptomatic breast units with palpable breast lumps every year,
resulting in a significant workload for these centres.
The majority of these patients have benign breast pathology (3,4).
96% (8652/8981)...
Methods and materials
Method:
A retrospective analysis of all female patients ≤ 30 years of age presenting with palpable breast masses to our symptomatic breast clinic in Beaumont Hospital,
Dublin,
Ireland between January 2007 and December 2016 was undertaken.
Patients who underwent image-guided biopsy were further analysed.
All patients had clinical assessment with a breast surgeon prior to breast imaging.
Image-guided percutaneous biopsies were performed by experienced breast radiologists using 14 gauge tru-cut core biopsy needles.
Clinical (S1-5) and imaging scores (R1-R5),
pathological results (B1-B5) and decisions from...
Results
978 women with palpable masses who underwent clinical breast examination,
breast ultrasound and image guided biopsy were included for analysis.
The mean age was 23 years with range of 13-30 years.
Breast masses size ranged from 2 to 160mm with a mean size of 20.8mm.
We found no correlation between size of lesion and presence of malignancy.
There was no correaltion between clinical breast exam score and the pathology results of image guided biopsy.
937/978 (96%) of the masses yielded benign histopathology (B1/B2) on image...
Conclusion
Conclusions:
The age of the patient is very important in the assessment of palpable solid breast masses.
The incidence of breast cancer is low in women under 30 years,
just 1% in our study group.
We found no correlation between the size of the breast mass and the presence/ absence of breast malignancy.
We found no correlation between the clinical breast examination score and the presence/ absence of breast malignancy.
The negative predictive value of ultrasound assessment with R-Score of R3 in women ≤ 25...
Personal information
Contact details:
Sian Kneafsey:
Medical studentat St.
Vincent's University Hospital,University College Dublin,
Belfield,
Dublin 4,
Ireland.
Email:
[email protected]
Dr.
Deirdre Duke:
Consultant Breast Radiologist at Beaumont Hospital,
Beaumont,
Dublin 9,
Ireland.
References
1.
Cancer Research UK.
Information Resource Centre – Incidence,http://www.cancerresearchuk.org/[accessed 10.09.17].
2.
Cancer Research UK.
Information Resource Centre – Risk Factors,http://www.cancerresearchuk.org/[accessed 10.09.17].
3. Hamilton LJ,
Cornford EJ,
Maxwell AJ.
A survey of current UK practice regarding the biopsy of clinically and radiologically benign breast masses in young women.
Clin Radiol.
2011;66(8):738-41.
4.
Maxwell AJ,
Pearson JM.
Criteria for the safe avoidance of needle sampling in young women with solid breast masses.
Clin Radiol.
2010;65(3):218-22.
5.
A.T.Stavros,D.Thickman,C.L.Rapp,et al.Solid breast nodules: use of sonography to distinguish between benign...
