Prevalence of breast dense in a population in Bucaramanga, Colombia

Revista Colombiana de Cancerología

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Title Prevalence of breast dense in a population in Bucaramanga, Colombia
Prevalencia de tejido mamario denso en una población en la ciudad de Bucaramanga, Colombia
 
Creator Baquero Serrano , María Alejandra
López Martínez , Luis Andrés
Vera Campos, Silvia Nathalia
Rosales Rueda , Sergio Andrés
Jaramillo Botero, Natalia
Ochoa Vera , Miguel
 
Subject Mammography
Breast
Diagnosis
Mass Screening
Mamografía
Mama
Diagnóstico
Tamizaje masivo
 
Description Introduction: The presence of dense breast tissue in women is a condition that makes it difficult to assess and adequately interpret mammography, possibly masking suspicious lesions of malignancy. Recent studies suggest the performance of complementary studies for the screening and diagnostic approach of these patients.
Objective: To establish the prevalence of women over 50 with dense breasts in Bucaramanga city studied by mammography and evaluate the performance of complementary studies
Materials and methods: A retrospective descriptive study was conducted during the period from January 1, 2014 to August 31, 2015, 10,110 mammograms were reviewed in patients over 50 years of age. Subsequently, a review of the literature in the main databases was made.
Results: 10110 mammograms were performed, 4448 were found to be positive for dense breast.  39.69% was heterogeneously dense breast tissue, and 4.29% extremely dense; The result was 43.9% patients with positive dense breasts
Discussion: Breast density is an independent risk factor for breast cancer, being of medium importance compared to other factors. As the breast density increases, the overlap of the radiopaque breast tissue that can hide and delay the diagnosis of an underlying cancer is generated
Conclusion: Given the high prevalence of dense breast tissue found in our population, current evidence suggests complementing screening with other imaging methods, individualizing each patient.
Introducción: La presencia de tejido mamario denso en las mujeres es una condición que dificulta la valoración y la adecuada interpretación de la mamografía, lo cual puede llegar a enmascarar lesiones sospechosas de malignidad. Estudios recientes sugieren la realización de estudios complementarios para el tamizaje y abordaje diagnóstico de estas pacientes.
Objetivo:  Establecer la prevalencia de mujeres mayores de 50 años con mamas densas en el área de Bucaramanga estudiadas por mamografía y determinar la necesidad de la realización de estudios complementarios
Materiales y métodos: Se realizó un estudio descriptivo retrospectivo durante el periodo comprendido entre 1 enero de 2014 hasta 31 agosto de 2015, se revisaron 10.110 mamografías en pacientes mayores de 50 años. Posteriormente, se hizo una revisión de la literatura en las principales bases de datos.
Resultados: De las 10110 mamografías realizadas, 4448 fueron encontradas como positivas para mama densa.  De estas un 39.69% correspondió con Tejido mamario heterogéneamente denso, y 4.29% extremadamente denso; para un total de 43.9% de los casos estudiados.
Discusión: La densidad mamaria es un factor de riesgo independiente de cáncer de mama, siendo   de mediana importancia frente a otros factores. A medida que incrementa la densidad mamaria se genera la superposición del tejido mamario radio-opaco que puede ocultar y llegar a retardar el diagnostico de un cáncer subyacente
Conclusión: Dada la alta prevalencia de tejido mamario denso encontrado en nuestra población la evidencia actual sugiere complementar el tamizaje con otros métodos de imágenes, individualizando cada paciente.
 
Publisher Instituto Nacional de Cancerología
 
Date 2020-07-03
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://www.revistacancercol.org/index.php/cancer/article/view/94
10.35509/01239015.94
 
Source Revista Colombiana de Cancerología; Vol. 24 No. 3 (2020); 119-124
Revista Colombiana de Cancerología; Vol. 24 Núm. 3 (2020); 119-124
Revista Colombiana de Cancerología; v. 24 n. 3 (2020); 119-124
2346-0199
0123-9015
 
Language spa
 
Relation https://www.revistacancercol.org/index.php/cancer/article/view/94/510
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