A descriptive study on radiographic patterns and utilization outcomes of breast cancer screening mammography at De La Salle University Medical Center
Publication Date
2017
Document Type
Research
Abstract
Breast cancer is the leading cause of morbidity and mortality among Filipino women. Mammography remains the best tool of screening breast cancer This study aimed to determine the radiologic characteristics and utilization outcomes of breast cancer screening mammography among patients of De La Salle University Medical Center (DLSUMC) from 2011 to 2013. A descriptive cross-sectional study design was utilized. Review or records of patients fulfilling the selection criteria was done. A total of 1,056 cases were reviewed and pertinent demographic and mammographic data were tabulated and analyzed. Majority of the subjects (48.3%) were middle-aged women 40-49 years referred by the OB-GYN (35.6%) and surgery services (28.7%) for screening mammography. Majority of the mammograms are BIRADS 0 (43.8%) and subsequently referred to another modality (92.4%). 69/1056 (6.5%) of the cases were BIRADS 4 and 42/20156 (4.0%) were BIRADS 5. Breast composition noted is mostly scattered fibroglandular density (36.2%). Most common findings noted in mammograms are breast mass (48.7%) and calcifications (47.5%). Most of these breast masses are irregular in shape; associated architectural distortion was noted seen in 5.4%. Axillary lymphadenopathy was the most common associated feature (15.0%) among patients with breast mass. Round calcifications (37.3% for benign) and fine pleomorphic calcifications (5.9% for suspicious morphology) were reported as the most common for calcification morphology. In conclusion, ten (10) of every 100 patients who underwent mammography at DLSUMC were either categorized as BIRADS 4 (suspicious of malignancy) or BIRADS 5 (highly suggestive malignancy). Mean age of patients were 51 years and were commonly referred by OB-GYN. Majority of the finding were breast mass (48.7%) and calcifications (47.5%). Axillary lymphadenopathy was present in 15% of subjects with breast mass. Most common benign feature among patients with breast calcification was the round type followed by vascular and rim, all of which having benign features. Fifteen percent of breast calcifications seen had suspicious morphology, of which, fine pleomorphic calcification was the most common.
APA Citation
Sanico, Aisha-Marie M. and Tamana, Marvin, "A descriptive study on radiographic patterns and utilization outcomes of breast cancer screening mammography at De La Salle University Medical Center" (2017). Resident Research. 368.
https://greenprints.dlshsi.edu.ph/resident-research/368