ABSTRACT
Breast cancer is a severe illness that often has fatal consequences. Adherence to the recommendations for breast cancer surveillance is poorly practiced among African American women. The study aimed to identify barriers to preventative screening for breast cancer among African American women (AAW) using a qualitative research design. We explored the influence of personal barriers,stereotypes, socioeconomic status, culture, attitudes, and beliefs on African American women's behavior regarding breast cancer screening. Fourteen African American women were interviewed. Data analysis was completed with Interpretative Phenomenology Approach (IPA). This study's findings demonstrated that African American women perceived the barriers to breast cancer screening include lack of information about available resources, belief that screening cannot change genetic predisposition, embarrassment from exposing the breast for a mammogram, fear of mammograms, and fear of a positive result. These findings may be used to develop interventions to increase AAW's participation in breast cancer screening. (Afr J Reprod Health 2022; 26[7]: 22-28).
Subject(s)
Humans , Female , Breast Neoplasms , Mammography , Women , Black or African American , Blood-Testis Barrier , Preventive Medicine , Early Detection of CancerABSTRACT
L'objectif de cette étude était d'évaluer les difficultés liées au diagnostic mammographique des affections mammaires au Chu Yalgado ouédraogo de ouagadougou. il s'est agi d'une étude transversale descriptive menée du 1er janvier 2007 au 30 juin 2010 et qui a concerné 213 dossiers de patients ayant consulté pour une affection mammaire. nous avons recensé 213 patients dont les dossiers médicaux ont été retrouvés avec 95,4 % de femmes et 4,6 % d'hommes soit un sexe ratio de 0,05. la moyenne d'âge des patients était de 41,5 ans et la tranche d'âge de 43 à 52 ans était la plus représentée. la mammographie a pu être réalisée seulement par 44 patients soit 20,66 % du fait principalement du coût exorbitant de l'examen pour les populations majoritairement démunies, de la faible disponibilité de cette modalité d'exploration et de sa faible prescription. les comptes rendus d'examen étaient disponibles chez 27 patients (soit 61,3 %). des anomalies ont été retrouvées chez 73.1 % de ces patients, beaucoup plus chez les femmes (95 %) que chez les hommes (5 %). les lésions bénignes étaient l'apanage des tranches d'âge de 13 à 22 ans (68 %) et celles suspectes de malignité celui des patients plus âgés, de 43 à 52 ans (91 %). les principales lésions étaient représentées par les opacités (46,1 %) et les microcalcifications associées aux opacités (11.5 %). on notait une prédominance des lésions de type aCR 2 (22,2 %). la mammographie est l'examen de première intention dans le bilan sénologique mais elle reste relativement peu utilisée dans notre contexte
Subject(s)
Academic Medical Centers , Breast Diseases , Burkina Faso , Mammography/methods , Mammography/trendsABSTRACT
BACKGROUND:The effect of breast cancer on elderly South African (SA) patients is not well characterised. The lack of data with regard to disease burden; post-treatment surveillance and breast cancer relapse poses a challenge to providing optimum follow-up care to this group of patients. OBJECTIVES:To assess the effect of breast cancer and adherence to post-treatment surveillance programmes among the local elderly population attending the breast oncology clinics at Addington and Inkosi Albert Luthuli Central hospitals in Durban; KwaZulu-Natal; SA.METHODS: A retrospective review was undertaken of all patients aged =65 years diagnosed with breast cancer during 2007. Hospital records were reviewed for a period of 5 years to ascertain the stage of the disease; treatment received; adherence to post-treatment surveillance mammograms; incidence of new mammographic findings and recurrence; site of recurrence; mode of detection of recurrence; disease-free survival; and overall survival rates at 5 years.RESULTS:In our study; the incidence of breast cancer in the elderly population was 26.7%. A significant percentage of patients (56.3%) were diagnosed at an advanced stage of disease. Of the 46.9% who had received surveillance mammography; only 6.3% received their post-treatment surveillance mammograms on time; in accordance with international recommendations. New mammographic findings were detected in 26.7% of patients during the 5-year follow-up. During the follow-up period; 15.6% of the total number of study patients presented with disease recurrence. Eighty percent of cases of recurrence were detected clinically. The overall survival at 5 years was 65.6%. CONCLUSION:Our study highlights the significant number of elderly patients with advanced disease at diagnosis; poor compliance with internationally recommended annual post-treatment surveillance mammograms; and the relatively low overall 5-year survival rate compared with that of international studies
Subject(s)
Aged , Breast Neoplasms/diagnosis , Developing Countries , Follow-Up Studies , MammographyABSTRACT
OBJECTIFS. Cette etude avait pour objectif d'evaluer les connaissances; attitude et pratique des professionnels de la sante de l'Hopital General de Yaounde sur le depistage du cancer du sein. MeTHODES. Il s'agissait d'une etude transversale descriptive qui s'est deroulee a l'Hopital General de Yaounde (HGY) du 5 fevrier au 5 juin 2014. Les donnees sur les connaissances; attitude et pratique des professionnels de sante sur le depistage du cancer du sein etaient collectees par un questionnaire. ReSULTATS. Des 330 personnes interrogees; 306 ont accepte de participer a l'etude soit un taux de reponse du personnel de sante de 92%.Tout le personnel de sante (100%) de l'HGY avait deja entendu parler du cancer du sein. La quasi-totalite (93;5%) de ce personnel a reconnu l'existence de facteurs de risques de cancer du sein. La mammographie et l'auto examen des seins (AES) sont citees comme moyens de depistage respectivement par 94;1% et 86;6% des participants. Parmi les 195 professionnels de la sante feminins de l'HGY; 157 (80;7%) pratiquaient un depistage du cancer du sein a titre personnel. Moins du quart (23;5%) de ce personnel pratiquaient regulierement l'AES tous les mois. La mammographie de depistage n'etait pratiquee que par 22;5% de ce personnel feminin ages de 45ans et plus. CONCLUSION. Le personnel de sante de l'HGY a un bon niveau de connaissance du depistage du cancer du sein. Cependant; son taux de pratique d'un depistage personnel du cancer du sein par la mammographie ou l'AES mensuelle est faible
Subject(s)
Breast Neoplasms , Knowledge , MammographyABSTRACT
Background: Late presentation has been observed as the hallmark of breast cancer in Ghanaian women where over 60 of patients report with either stage 3 or 4 of the disease. This cross-sectional study aimed at exploring breast cancer related knowledge and practices in order to develop an appropriate socio-economic and cultural specific model to improve breast cancer care in Ghana. Methods: The study which was conducted in Accra and Sunyani in Ghana used both quantitative and qualitative methods and employed the theory of planned behavior as a communication and educational model. Information was collected from 474 women using questionnaires. In addition semi-structured interviews were conducted on 10 breast cancer patients; 10 breast clinic attendants; 3 Oncology Consultants and 2 herbalists. Results: Generally; the respondents displayed knowledge deficit about the disease. However; higher levels of education was associated with better appreciation of the disease (rs =0.316; N= 465; p 0.001). The respondents' attitudes include fear of the disease which was linked to death in most cases; denial and guilt; as well as supernatural attributes. The self-reported breast cancer screening rate (BSE 32; CBE 12 and mammogram 2) was poor; however; higher educational of the respondents was very significant for breast cancer screening practices. Conclusion: The study found that routine mammography screening is not feasible in Ghana at the moment which therefore requires a different approach
Subject(s)
Attitude , Breast Neoplasms/diagnosis , Mammography , Mass ScreeningABSTRACT
Objectives:Breast disease remains a major public health issue worldwide.It is the most common cancer among Nigerian women.Fine needle aspiration cytology (FNAC) is an important preoperative assessment tool along with clinical and mammography examination in both screen detected and symptomatic breast disease.This study provide opportunity to determining the accuracy of FNAC and factors affecting false negative rate in Obafemi Awolowo University Teaching Hospital complex; Ile-Ife; Osun state Nigeria Method:All patients seen in the breast clinic with lump were sent to the pathology department for FNAC from January 1997 to December 2004.The sociodemographic data; cytology result; final histology result and the clinical staging for breast cancer were analyzed.Results:Eight hundred and sixty-four patients had FNAC during the studied period; however only 632 cases had available final histological report.Of these; 20 (3.2) were male while 612 (96.8) were female; the age ranged from 15 years to 99 years; median of 36.50.We found that absolute sensitivity for malignancy to be 70.8.The false negative rate was 14.9; while the false positive rate was 1.8.The suspicious rate was 9.8while the inadequate rate was 5.4.Conclusion:FNAC remains the least invasive; the most rapid and the most cost effective method to confirm clinical and radiological suspicion of malignancy; however; the test has high false negative rate.We recommend that consultation between pathologists and the clinicians should be facilitated and encouraged to reduce the high false negative. Also; multi-disciplinary audits of difficult case should be part of the work routine
Subject(s)
Breast Neoplasms/diagnosis , MammographyABSTRACT
"Mammographic screening is employed to detect breast cancer early before it metastasize; thereby reducing the high mortality associated with breast cancer. The study aims at assessing the pattern of usage of screening mammography for breast cancer in a private centre which will serve as a guide in the extrapolation of the findings to its serving states (Edo and Delta). Mammographic data from a private center in Benin was retrieved and analyzed using SPSS (version 15). The 203 mammograms in this study were done between 2007 and 2009 using the BIRADS lexicon for reporting. Data on family history of breast cancer from questionnaires administered prior to the mammography were also retrieved. Only 15.6of the clients had screening mammography done. Detected breast masses and positive family history of breast cancer were significantly more in the clients for diagnostic mammography. Until a concrete well-enforced national breast cancer screening policy is enacted; the use of screening mammography will remain low. Public enlightenment campaign on the usefulness of screening mammography; not limited to the ""at-risk"" group; should be part of this policy. It is ideal that patients/clients for breast imaging should have all such radiological evaluation done at a single center with trained breast imaging radiologists for comparative evaluation and ease of arriving at a correct diagnosis"
Subject(s)
Breast Neoplasms/diagnosis , Causality , Mammography , NigeriaABSTRACT
Objectives: to study the accuracy of cytopathology and to evaluate it as diagnostic pathological tool in breast diseases.Method:a prospective study in the period between Jan 2006 and Feb 2008.Data were analysed using the SPSS. Sensitivity; specificity and accuracy were calculated and compared to literature. Results: Total number of reports was 542; 271 for each cytopathology and histopathology. The overall mean age was 41.0+ 15.3 (ranging between 14- 80) years.The overall sensitivity; specificity and accuracy of cytopathology were 56.1; 80.9 and 63.8respectively while those of histopathology were 93.5; 83.5 and 89.7respectively.Conclusion: FNAC has low sensitivity; specificity and accuracy
Subject(s)
Biopsy , Breast Neoplasms/diagnosis , Diagnostic Imaging , MammographyABSTRACT
Dans le but de vulgariser le depistage systematique mammographique du cancer du sein chez la femme en Cote d'ivoire; nous avons mis en evidence toutes les contraintes liees a une telle procedure.C'est une etude prospective qui a consiste a inciter le personnel feminin du CHU de Treichville age de 40 ans et plus a venir faire gratuitement et de facon systematique un examen mammographique avec une incidence oblique externe de chaque sein. Les femmes qui ont eu une image suspecte ou douteuse ont ete reconvoquees pour un examen clinique et une echographie mammaire. Cette etude a permis de reveler:AU PLAN EPIDEMIOLOGIQUE*Une participation de 45;2pour cent de la population cible avec une moyenne d'age de 47;9 ans et 58;7pour cent de femmes agees de 40 a 49 ans;*53;8pour cent des femmes font partis du personnel paramedical*35;6pour cent ont des antecedents familiaux de cancer du sein.AU PLAN GYNECOLOGIQUE*Parite moyenne de 3;9 enfants par femme avec 89;4pour cent de multipares et une seule nullipare*Moyenne d'age de la premiere grossesse a terme est de 19;7 ans; 83;7pour cent des femmes ont allaite leurs enfants au sein*24pour cent de femmes menopausees dont 11.4pour cent ont pris un traitement hormonal substitutif de la menopauseAU PLAN RADIOLOGIQUE*10;6pour cent de mammographie de prescription individuelle; 4;8pour cent de femmes reconvoquees*Au plan mammographique; on a:=46;1pour cent d'images d'aspect lipomateux=43;3pour cent d'images d'aspect mixte=10.6pour cent d'images d'aspect dense.*Les images d'aspect lipomateux predominent chez les femmes de 50 a 59 ans soit 56;2pour cent.*Les images d'aspect mixte predominent chez les femmes de 40 a 49 ans soit 73;3pour cent.*Les images d'aspect dense predominent chez les femmes de 40 a 49 ans soit 90;9pour cent.Le cancer du sein constitue un veritable probleme de sante publique dont les facteurs de risque sont peu ou mal connus. Le seul moyen efficace pour lutter contre ce fleau est le depistage mammographique de masse dont l'efficacite a ete demontree.Certains points restent cependant mal definis comme le nombre optimal de cliches par sein (un ou deux); la periodicite adequate de la surveillance (tous les ans; tous les 2 ou 3 ans); l'age de debut de surveillance (40; 45 ou 50 ans); la prise en compte de facteurs de risque du cancer (en dehors de l'age) dans la periodicite et/ou pour l'age de debut du depistage
Subject(s)
Breast Neoplasms , Mammography , WomenABSTRACT
The increasing use of mammography; both for diagnostic purposes and in screening programmes; is now well established. This brief review attempts to define and to outline some of the uses of mammography in current surgical practice; and to suggest that the introduction of mammographic facilities to the Seychelles should be seriously considered as an important advance in the management of women with breast disorders and in the earlier detection of breast cancer