Mammographic screening for breast cancer in a resource-restricted environment

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dc.contributor.authorApffelstaedt, Justus P.en_ZA
dc.contributor.authorDalmayer, Lisaen_ZA
dc.contributor.authorBaatjes, Karinen_ZA
dc.date.accessioned2015-12-10T07:47:35Z
dc.date.available2015-12-10T07:47:35Z
dc.date.issued2014-04
dc.descriptionCITATION: Apffelstaedt, J. P., Dalmayer, L. & Baatjes, K. 2014. Mammographic screening for breast cancer in a resource-restricted environment. South African Medical Journal, 104(4):294-296, doi:10.7196/SAMJ.7246.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractBackground. Mammographic screening is carried out at public sector hospitals as part of clinical practice. Objective. We report the experience of such screening at Tygerberg Academic Hospital (TBAH), a tertiary referral hospital in the Western Cape Province, South Africa. Methods. All mammograms performed between 2003 and 2012 at TBAH were analysed regarding patient demographics, clinical data, indication and outcome according to the American College of Radiology Breast Imaging Reporting and Data System (BIRADS). Screening mammography was offered to patients >40 years of age and mammograms were read by experienced breast surgeons. Patients with BIRADS 3 and 4 lesions were recalled for short-term follow-up, further imaging or tissue acquisition. Patients with BIRADS 5 lesions were recalled for tissue acquisition. Further imaging, method of tissue acquisition, histology results and use of neo-adjuvant therapy were also recorded. Results. Of 16 105 mammograms, 3 774 (23.4%) were carried out for screening purposes. The median age of patients undergoing screening was 54 years. Of 407 women with mammograms that were reported as BIRADS 3 - 5 (10.8% of screening mammograms), 187 (46% of recalled women) went on to have further imaging only. Tissue was acquired in 175 patients (43% of recalled women), comprising a biopsy rate of 4.6% of the total series. The malignancy rate in cases in which tissue acquisition was done was 25%. Forty-three breast cancers were diagnosed (11.4/1 000 examinations). Of the cancers, nine (31%) were ductal carcinomas in situ. Of 20 invasive cancers, nine (45%) were <10 mm in size. Of the invasive cancers, 40% were node-positive. Conclusions. The cancer diagnosis rate indicates a high breast cancer load in an urbanised population.en_ZA
dc.description.urihttp://www.samj.org.za/index.php/samj/article/view/7246
dc.description.versionPublisher's version
dc.format.extent3 pages
dc.identifier.citationApffelstaedt, J. P., Dalmayer, L. & Baatjes, K. 2014. Mammographic screening for breast cancer in a resource-restricted environment. South African Medical Journal, 104(4):294-296, doi:10.7196/SAMJ.7246.
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.otherdoi:10.7196/SAMJ.7246
dc.identifier.urihttp://hdl.handle.net/10019.1/97674
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Group
dc.rights.holderSouth African Medical Journal
dc.subjectBreast -- Radiographyen_ZA
dc.subjectBreast -- Cancer -- Imagingen_ZA
dc.titleMammographic screening for breast cancer in a resource-restricted environmenten_ZA
dc.typeArticleen_ZA
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