Breast cancer in Yemen
ABSTRACT
Fahmi O Aram; MD
Associate professor of surgery
Department of surgery
College of Medicine
Hadramout University
aramfahmi@yahoo.com The corresponding author
Tel: 00967 777333460
Fax: 00967 5 354912
PO Box: 50595
Salim S Bafakeer; MD
Assistant Professor of Pathology
Department of pathology
College of Medicine
Hadramout University
Email: Bafageer@yahoo.com
Nawal S Banafa; MD
Assistant professor of community medicine
Department of social Services
College for Women
Hadramout University
nawalsaeed1998@yahoo.com
INTRODUCTION: Breast cancer is a public health problem worldwide; therefore, it is critical that efforts in prevention and early diagnosis of breast cancer are implemented everywhere.
OBJECTIVE: To describe the current scope of breast cancer in Yemen.
To identify the common type of breast cancer in our people
METHODS: This is a prospective descriptive study conducted at Hadramout laboratory center between January 2006- Jan 2010. Patients attending surgical units for breast lumps were eligible. Patients were assessed clinically, radiologically and/or FNAC then referred to the laboratory center to confirm the diagnosis by histopathology. The data were collected from the referral sheets and the patients themselves. Data were analyzed by using a computer SPSS program
RESULTS: 635 cases of breast lumps were diagnosed. Malignant lesions comprising 142 (22.4%) of all cases. 137 female and 5 male patients. It was common in the age group 40-49 (29.6%) The mean age 48 (SD= 15.4).The most common type of malignancy is invasive ductal carcinoma which represents 86.6% (n=123) of all malignant cases. The left breast affected in 76(53.5%) cases, the right in 63 (44.4%) while in 2% both breasts were affected
CONCLUSION Breast carcinoma cases were less frequent but more common in the 40-49 years age group. Most patients with breast cancer present late, because they lack awareness and do not have access to screening programs. Breast cancer awareness and cancer screening helps detect breast cancer at an early stage, and this would improve the outcome. In view of these findings we propose the implementation of breast screening programs.
KEY WARDS: Breast cancer, Invasive ductal carcinoma
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