Browsing by Author "Mpolokeng, Kentse."

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    Mammographic outcomes among women attending a large imaging facility in Ilorin, Nigeria: a retrospective chart review
    (Published by PAMJ (Kenya), 2024-05-22) Ibrahim Abdulmumin,; Olagunju, Aisha .Oluwakemi.,; Abdulkadir, Muhammad.Kabir.,; Mpolokeng, Kentse.; Mashood, K. O.,; Abdullahi, A.A; Gwadabe, Sadiya .Musa.; Imam, Aminu; Kadir Risikat .Eniola.
    Introduction: breast cancer is the most common cancer among women in developed and developing countries. Breast cancer has recently overtaken lung cancer as the most diagnosed cancer in the world, as one in eight of all new cancers diagnosed worldwide each year is a cancer of the female breast. Breast cancer remains one of the leading causes of morbidity and mortality among women worldwide. Early detection is vital in reducing breast cancer-related morbidity and mortality through routine screening in women aged 40 years and above. Unfortunately, women do not usually present themselves for routine breast cancer screening. Most breast cancer cases were discovered accidentally by physicians following presentations of related symptoms. We, therefore, conducted a retrospective chart review of mammographic outcomes of women in a large imaging facility in Nigeria. Methods: we conducted a retrospective study of women who underwent breast cancer screening from 2014-2017 in one center, Harmony Advanced Diagnostic Centre (HADC), a large imaging facility in Ilorin, Kwara State. We reviewed the mammographic films and radiologists' reports of 111 women presented at the facility between 2014-2017. We reviewed the following mammographic breast features: the reason for the scan, breast symmetry, glandular distortion, calcification, nipple, and surrounding tissue, breast density, axillary lymphadenopathy, periareolar ductal system and lesion, opacity, suggestive diagnosis, and doctors' recommendations. The data were analyzed by SPSS version 20. We used descriptive statistics to generate proportions, and Chi-square was used to test for the association of categorical variables at p<0.05 significant level. Results: the mean age of the patients was 51.9 (±8.7) years, with the majority (57.3%) between the ages of 50 - 69 years. The highest (34.2%) number of scans was recorded in 2016. Fifty (45.9%) of the scans were recommended by doctors because of complaints of abnormal feelings in the breast and surrounding tissues. Fifty-six (54.1%) of the scans were done for medical checkups or routine breast cancer screening. Of the 56 scans done for routine breast cancer screenings, 44.6% were solely the patients´ idea as part of their yearly routine cancer screening exercise, while 55.4% of the scans were suggested by doctors in the absence of any suggestive breast cancer-related features or problems. Breast lump was the most common complaint leading to breast cancer screening. Most Breast tissue opacity was in the upper outer quadrant and upper inner quadrant at 46.0% and 23.0%, respectively. More than half (55.4%) of the patients were suggestive of having BI-RADS I and BI-RADS II at 27.7% each, respectively. About half (51%) of the patients were recommended for biopsy only, 40% for ultrasound, and 9% for both. Breast tissue calcifications and suggestive diagnosis were associated with the doctor´s recommendations at p = 0.004 and 0.001, respectively. Conclusion: women presenting voluntarily for routine breast cancer screening were low, suggesting poor breast cancer awareness in this population. Breast lumps are the most self-reported condition leading to a scan. A finding that is not surprising because breast lumps can be self-detected in most cases. A considerable number of women in this population exhibited mammographic breast features suggestive of breast cancer, suggesting that they are at a high risk of developing breast cancer. Biopsy was the preferred further investigation of choice among the selfdoctors for confirming mammographic outcomes.