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- Title
DIAGNOSTICUL IMAGISTIC AL CANCERULUI MAMAR LA FEMEILE CU VÂRSTĂ FOARTE TÂNĂRĂ.
- Authors
PODEANU, MARIA DANIELA; STOLNICU, SIMONA; TREABA, ANDRADA CONSTANTINA; MARIAN, CRISTINA; GEORGESCU, RAREŞ-ADRIAN; GLIGA, MIRELA
- Abstract
To highlight the role of imaging diagnosis of breast cancer in very young women with overview of the literature, considering the diagnostic difficulties at this age. Material and method: We retrospectively reviewed all breast cancer cases in women ≤ 35 years-old admitted in the County Clinical Hospital of Tîrgu-Mureş, during the past five years, analyzing the clinical, imaging, histopathological and surgical reports. Results: A total of 950 women were diagnosed with breast cancer during this period, 113 (11.89%) younger than the age of 45. 22 (19.46%) were very young (aged < 35 years), with a mean age of 30. Out of the very young group, 16 (72.72%) women presented palpable lesions and 13 (59.09%) axillary adenopathies on diagnosis. All patients underwent ultrasonographic evaluations, 18 (81.81%) displaying spiculated lesions; multifocal masses were seen in 3 (13, 63%) cases and microcalcifications without mass only in one. Five patients (22.72%) were mammographically examined, as well. Breast magnetic resonance imaging, performed in 2 cases, revealed multifocal masses in one patient and non-masslike enhancement in a high grade of malignancy intraductal carcinoma. Mastectomy with axillary lymph node dissection was performed in 50% patients. Conclusions: Breast cancer diagnosis in very young women may be more difficult to establish considering the high breast density at this age. Breast ultrasound remains the preferred way for the examination of dense breasts, generally recommended as a method of choice under the age of 35 years old. Combining imaging methods increases diagnosis accuracy of breast cancer in very young women.
- Subjects
BREAST cancer; CANCER in women; YOUNG women; IMAGING of cancer; CANCER diagnosis; MASTECTOMY; BREAST surgery; DISEASES
- Publication
Acta Medica Transilvanica, 2013, Vol 18, Issue 1, p102
- ISSN
1453-1968
- Publication type
Article