Comparison of mammography findings in women referred to breast pain and those referring for breast screening to hospital associated with cancer

Abstract

Author(s): Mahyar Mohammadifard, Zahra Malakooti

Background: Breast cancer is one of the most common cancers and the second leading cause of death after cardiovascular disease and breast pain is a common breast complains that affects a large number of women in reproductive age. In addition to the fear of cancer, it causes frequent medical referrals and disruptions occupational, social, and family activities. The aim of this study was to compare mammography findings in two groups of patients with breast pain and natural examination, and those referring to Imam Reza Hospital, Birjand during 2016-2017. Methods: In this cross-sectional descriptive study, 400 women over 40 years of age complaining of breast pain were examined over a period of one year by a general practitioner. A total of 386 patients were evaluated for routine breast cancer screening (control group) who were matched to the case group for age, marital status, age of menarche, age of first pregnancy and number of children. They were selected through convenience sampling and entered the study. All mammograms were performed by a radiology technician. Data were analyzed by SPSS 15 software using Chi-square and Fisher exact tests. Results: Our results demonstrated benign lesions in 39.4% of women in breast pain group and 42.2% of women in screening group. Findings also showed suspected lesions in 1% of women in breast pain group and 1.3% of women in screening group (p=0.45). Mammography findings revealed benign lesions in 51.2% of women in breast pain group and 32.6% of women in screening group based on the in IUD prevention method. The frequency distribution of mammography findings in women in the two groups was not significantly different regarding contraceptive methods (ampoules, tubectomy, condoms and normal). In addition, the frequency distribution of mammography findings in women in both groups was not significantly different in terms of menarche age and menopause (p>0.05). Conclusion: According to the results of the present study, breast pain can rarely be a symptom of breast cancer, associated with various factors.

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