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Article
Breast tumors in females: A Review Of 500 Malignant Cases.

Author: Lubab F.Talal
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 4 Pages: 456-459
Publisher: Baghdad University جامعة بغداد

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Abstract

Background:Breast carcinoma is the most common malignant tumor and the leading cause of carcinoma death in women, with more than 1,000,000 cases occurring worldwide annually.(1) as a matter of fact , the mortality rate for breast carcinoma changed very little from the 1930s to the early 1990s, because of the combined action of earlier diagnosis and improved therapy .
Materials and methods: The prospective study included 500 cases of breast carcinoma who went total mastectomy , between October 2006- April 2007, where taken from private pathology laboratory , sections(4microns) are taken and stained with H&E stain and over-reviewed.
Results: Clinicopathological analysis of the 500 cases of breast carcinoma, including the age, clinical presentation, the site of the tumor, the mammography results, the microscopic morphology, the stage and the grade of the tumor. The age in relation to the morphological classification also analyzed.
Conclusion: The commonest breast carcinoma in women is invasive ductal carcinoma, followed by lobular carcinoma, with mean age 44.5 year, mainly in the left breast, and that mammography approach is so useful in early detection of breast carcinoma.


Article
Comparative demographic and clinicopathological study on the behavior of mammary carcinoma in three Iraqi governorates (Baghdad, Hilla and Karbala)

Authors: Farah L. R. Al-Rufaee --- Nada A. S. Al-Alwan
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 4 Pages: 419-423
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Breast cancer is the most common malignant tumor in women worldwide. In Iraq, there is a tendency for this disease to be diagnosed in younger ages, at advanced stages with a prevalence of more aggressive tumor behavior.Patients and Methods: The study included a total of 216 women with breast lumps and proven breast cancer who visited the Main Referral Training Center for Early Detection of Breast Tumors in the Medical City Teaching Hospital in Baghdad (85 patients) and the Specialized Clinics belonging to the major hospitals of Hilla (62 patients) and Karbala (69 patients) complaining of apparent breast lumps.
Results: 31% of patients was in the age category (40-49 years), 38.4% of patients whose highest education within the primary school level, 36.4% of patients had history of lactation, 52.3% of total had started menstruation at the age (10-12 years), 85% of patients had negative history of oral contraceptive pills consumption, Ki-67 tumor marker was demonstrated in 62.5% of total with highest frequency of expression was displayed in Baghdad and in relation with grade II.
Conclusion: Significant differences among the three Iraqi governorates were noted with respect to patient’s age, educational status, history of breast feeding, age at menarche and history of oral contraceptive pills consumption. Higher Ki-67 nuclear expressions were demonstrated among patients from Baghdad. There was a direct significant relationship between Ki-67 nuclear expression and the nuclear staining intensity with tumor grades.

Keywords

Breast Cancer


Article
Risk factors of breast cancer in pre-menopausal women with social perspective

Authors: Nuha H. Al-Assaf نهى حاجم --- Dhafer B. AL-Youzbaki ظافر بشير اليوزبكي --- Muzahim K. Al-Khyaat مزاحم قاسم الخياط
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2008 Volume: 34 Issue: 2 Pages: 100-108
Publisher: Mosul University جامعة الموصل

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Abstract

Objective: To investigate general and socio-economic conditions in the development of breast cancer in pre-menopausal women.
Methods: Between1st March 2007 to 1st. October 2007, we conducted a case-control study, on 52 pre-menopausal women proved to have breast cancer and 80 pre-menopausal women proved to be without breast cancer were considered as controls. The questionnaire included, assessment of socio-economic factors, life events (stress, social discontinuities and geographical mobility), social context (economic factors, social disintegration, urbanization) and social class. In addition, previous history of surgical operation, parity, history of contraceptive pills usage, and chronic non-communicable diseases and previous X-Rays exposure, were also obtained. Moreover, body mass index and waist to hip ratio were obtained.
Results: Regarding Personal Characteristics; positive family history, sedentary life styles, unhealthy dietary behavior, personality type A, and active smoking, all were found to be significantly associated with the occurrence of breast cancer. According to Life Events; stress, social discontinuities and geographical mobility, were also found to be related to the development of breast cancer. Regarding Social Context, both economic factor and social disintegration were found to be highly and significantly associated with breast cancer. According to Other Variables, the presence of one or more of chronic non-communicable diseases in addition to previous exposure to diagnostic X-Rays radiation, having a BMI > 25, having a WHR > 1, being in lower social classes and the previous use of oral contraceptive pills were all found to be among the significant risk factors in the development of breast cancer among pre-menopausal women.
Conclusion: Pre-menopausal women with positive family history, sedentary life, unhealthy dietary behavior, personality type A, social discontinuities, active smoking, stress, social discontinuities, geographical mobility, social disintegration, sudden change of economic status, chronic diseases, previous X-Rays exposure, obesity, previous history of oral contraceptive pills usage and being from lower social classes are at high risk of developing of breast cancer. This, indicates the very high responsibility of modern doctors to bear social factors on mind in evaluating such diseases and also in health education.

الهدف: التحري عن العوامل الاجتماعية والاقتصادية وغيرها ودورها في حدوث سرطان الثدي قبل سن اليأس.الطريقة: أجرينا مابين الأول من آذار والأول من تشرين الأول من عام 2007 دراسة لـ 52 حالة سرطان ثدي وثمانين امرأة بدونه كمجموعة سيطرة وكلهن من عمر الإنجاب. اجري استبيان شمل واقعهن الاجتماعي والاقتصادي وحوادث الحياة من توترات، انقطاعات اجتماعية، وتحرك جغرافي، واقع الحالة الاقتصادية، الانفراط العائلي، التحول المدني، والطبقة الاجتماعية. كما تحرينا عن تاريخ أية مداخلات جراحية، عدد الأطفال، تعاطي أقراص منع الحمل، الأمراض المزمنة غير المعدية والتعرض للفحوص الشعاعية. كما تحرينا قياس مؤشر كتلة الجسم ونسبة محيط الخصر إلى محيط الورك.النتائج: وجدنا علاقة ذات مغزى بن حدوث سرطان الثدي وكل من التاريخ العائلي الموجب، قلة الجهد البدني، والتغذية غير الصحيحة، الشخصية نمط أ والتدخين. وبالنسبة للحوادث الحياتية وجدنا التوتر، الانقطاعات الاجتماعية والتحرك الجغرافي لهم علاقة بحدوث سرطان الثدي أيضا. أما المشاكل الاقتصادية والانفراط العائلي فقد أظهرتا علاقة ذات مغزى عالي القيمة مع حدوث سرطان الثدي. كما أن وجود مرض أو أكثر من الأمراض المزمنة غير المعدية، وسابق تعرض للفحوص الشعاعية وزيادة الوزن (مؤشر كتلة الجسم أكثر من 25كغم/م2)، وارتفاع نسبة محيطي الخصر إلى الورك إلى الواحد أو أكثر، والطبقة الاجتماعية المتدنية وسابق تعاطي أقراص منع الحمل أظهرت كل منها علاقة ذات مغزى مع حدوث سرطان الثدي في الأعمار دون سن اليأس.الخاتمة: إن من واجبات الطبيب المهمة في يومنا هذا إن يستذكر العوامل الاجتماعية وغيرها في مجال التثقيف الصحي وبيان دورها في احتمال حدوث سرطان الثدي المبكر وتجاوز ما يمكن تجاوزه منها في الحياة اليومية.

Keywords

Breast --- cancer


Article
Breastfeeding Patterns in an Urban Area in Baghdad

Author: Kholod Daher Habib
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2007 Volume: 6 Issue: 2 Pages: 125-128
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:The World Health Organization (WHO) & UNICEF, have recommended for a decade that mothers breastfeed for at least 2 years .Recently, there has been a stress on exclusive breast feeding for the first four to six months of life .METHODS:By using the 'current status analysis method'. Mothers of 650 infants from 0 to 12 months of age attending a Health Center were interviewed about the current feedingpatterns of the infants and other socioeconomic variables. Month-wise prevalence of feeding patterns was determined.RESULTS:It was observed that breast feeding was maintained at a high level (more than 90%) throughout infancy while exclusive breast feeding showed a rapid decline.At 1st month of age 78% , and at 4th month of age 50 % of infants were exclusively breast-fed.CONCLUSION:Breast feeding as such was maintained at a high level for the first 12 months of life while the practice of exclusive breast feeding was much lower


Article
Pattern of Breast Lesions in A Breast Clinic in Kirkuk, Iraq
نمط أمراض الثدي في عيادة الثدي في كركوك، العراق

Author: Nahrain John Aziz د0 نهرين جون عزيز
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 3 Pages: 212-215
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: The pathology profile of breast lesions is still not well defined in Kirkuk province and the rest of IRAQ. Breast diseases constitute a heterogeneous group, in which benign neoplasm is the leading lesion. Knowledge of the pattern of such lesions can provide better understanding of its causes natural history and preventive strategies. Objective: The aim of this study is to evaluate the pattern of breast lesions in patients who consulted the breast clinic in Kirkuk, during a nine years period (Jan 1994 – Jan 2003) in order to assist initiation of further studies to highlight the natural history of breast diseases mainly breast cancer.Methods & patients: The study consists of (2000) patients, with breast problems who consulted the breast clinic in Kirkuk. The outline of the breast lesions are tabulated and classified as inflammatory, benign and malignant, in addition to other lesions like congenital, functional, and developmental ones. Results: Inflammatory lesions are the commonest in this study (30.7%) followed by benign neoplasm (22.25%), malignant (6.9%) and other benign conditions (40.15%). Conclusion: The rate for breast lesions varied in different studies where benign neoplasm constituted the most common one followed by malignant lesions, inflammatory and other lesions. In this study inflammatory disease is the commonest breast lesion followed by benign and then by malignant neoplasm. Key words: Breast lesion, breast clinic, Kirkuk

الخلفية: ان اللمحة الباثولوجية لأمراض الثدي ما زالَتْ غير مححدة في محافظةِ كركوك وبقيّة انحاء العراق. ان أمراض الثدي تُشكّلُ مجموعة متباينة، تقودها في الصدارة الاورام الحميدة. ان معرفة نمطِ هذه الأمراض يُمْكِنُ أَنْ يُزيّد منَ معرفة أفضلَ لأسبابِها وطبيعتهاِ وإستراتيجياتِها الوقائيةِ.الهدف: إنّ هدفَ هذه الدراسةِ هو تقييمَ نمطَ أمراض الثدي في المرضى الذين إستشاروا عيادةَ الثدي في كركوك، أثناء فترةِ تسعة سَنَواتِ (كانون الثّاني 1994 - كانون الثّاني 2003) وهذا يُساعدَ في انجاز دراساتِ أخرى لإبْراز التأريخِ الطبيعيِ لأمراضِ الثدي وبشكل رئيسي سرطان الثدي.طرق العمل والمرضى: إنّ الدراسة َشملت 2000 مريضة إستشارتْ عيادةَ الثدي في كركوك تشكو من مرض في ثديها. إنّ خلاصةَ أمراض الثدي اوجزت بجدول وصنّفُت كالتهابية او حميدة او خبيثة بالاضافة الى آامراض الثدي الاخرى الولادية والوظيفية والتطويرية. النتائج: شكلت أمراض الثدي الالتهابية في هذه الدراسةِ (30.7 %) وتلت من بعدها الاورام الحميدة (22.25 %)، ثم الاورام الخبيثة (6.9 %) وتليها الحالات الحميدة الآخرى (40.15 %).الخاتمة: ان نسبة أمراض الثدي تَفاوتتْ في الدِراساتِ المختلفةِ حيث شكّلَت الاورام الحميدة أكثر شيوعاً تلتها الاورام الخبيثة ِ، ثم الامراض الالتهابية والحالات الاخرى. اما في هذه الدراسة فقد شكلت أمراض الثدي الالتهابية الاكثرية تلتها الاورام الحميدة ومن ثم الاورام الخبيثة.


Article
A retrospective study of surgical breast tumors in Iraq
دراسة بأثر رجعي من أورام الثدي الجراحية في العراق

Author: Rafal Abdulrazaq Al-Rawi
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2013 Volume: 19 Issue: 2 Pages: 346-352
Publisher: Tikrit University جامعة تكريت

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Abstract

Background:- In Iraq, breast cancer is the commonest cancer in females. There is an increasing frequency of breast cancer in Iraq and in the world. Objective:- The objective of this study is to investigate the incidence of breast tumors according to age of patients, tumor size and tumor grade. Patients and Methods:- In this study 44 cases (female patients) were investigated. The age of patients ranged from 17 years to 85 years with a mean of 43 years. A retrospective investigation of surgical lesions was studied, consisting of eight benign lesions (four cases of fibrocystic disease and four cases of fibroadenoma) and 36 malignant breast tumors. Result:-The result revealed that woman between 36-49 years old showed the highest incident of breast cancer (61.1%) mostly of ductal type (75%) of moderately to poorly differentiated grade. Regarding the benign lesions most of cases were from women of less than 35 years age. Regarding the size of tumor, it was found that 62.5% of benign tumors had size of less than 2 cm. whereas, 55.6% of the malignant tumors were found to be greater than 5 cm. Screening and control program in Iraq for breast cancer at early ages is highly recommended.

الخلفية : - في العراق ، وسرطان الثدي هو السرطان الأكثر شيوعا في الإناث . هناك زيادة في وتيرة سرطان الثدي في العراق و العالم. الهدف : - الهدف من هذه الدراسة هو التحقيق في حالات أورام الثدي وفقا ل عمر المرضى ، حجم الورم و درجة الورم . المرضى و الطرق: - في هذه الدراسة تم التحقيق 44 حالة ( المرضى من النساء ) . سن المرضى تراوحت بين 17 عاما إلى 85 عاما بمتوسط ​​43 عاما. وقد درس التحقيق بأثر رجعي من الآفات الجراحية ، ويتألف من ثمانية آفات حميدة ( أربع حالات من المرض فيبروكيستيك و أربع حالات من ورم غدي ليفي ) و 36 أورام الثدي الخبيثة. نتيجة :، و كشفت نتيجة تلك المرأة بين 36-49 سنة أظهرت أعلى حادثة سرطان الثدي ( 61.1 ٪ ) في معظمها من نوع الأقنية ( 75 ٪ ) من متوسطة إلى درجة سيئة متباينة . فيما يتعلق آفات حميدة معظم الحالات كانوا من النساء أقل من 35 عاما . وفيما يتعلق بحجم الورم، تبين أن 62.5 ٪ من الأورام الحميدة كان حجم أقل من 2 سم . في حين ، تم العثور على 55.6 ٪ من الأورام الخبيثة لتكون أكبر من 5 سم . ينصح بشدة برنامج الفحص والسيطرة في العراق للكشف عن سرطان الثدي في سن مبكرة .

Keywords

Breast tumor --- Breast cancer --- Iraq


Article
The validity of Sonography in distinguishing benign solid breast mass from malignant

Author: Osamah Ayad Abdulsattar اسامة اياد عبد الستار
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2015 Volume: 11 Issue: 19 Pages: 59-65
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

Objective:To evaluate the sensitivity and specificity, negative predictive value (NPV), and positive predictive value (PPV)of ultrasonography (US) in distinguish benign solid breast mass from malignant one.Patients and methods: Between April 2009 and October 2012 , 243 female patients with breast lesions diagnosed by their managing surgeons, were sonographically assessed .Those who had solid lesions were selected for a prospective study through comparison with the histopathological finding of the open biopsies taken from the lesions . US features that most reliably characterize masses as benign or malignant had been strictly applied for diagnosing these cases. Sonographic classifications were compared with histopathological reports of the biopsies . The sensitivity, specificity, and negative and positive predictive values of the sonography were calculated. Results:Sonographically ,108(44%) cases were classified as benign and 135(56%) were malignant . 12 (11%) lesions classified as benign sonographically, were found to be malignant histopathologically. 33 (24%) lesion classified as malignant were found to be benign histopathologically . Thus, the classification scheme had a negative predictive value of 89% and positive predictive value 75%. Conclusion: Sonography could help in distinguish benign solid mass and can be follow up .

الغرض: ليقرر فيما اذا كان الفحص بجهاز السونار قادر بدقة علي تميز الكتل الصلبة في الثدي الحميدة من الخبيثة .المرضى وطرائق البحث:243 مريضة مشخصة من قبل الأطباء المعالجين تمتلك كتلة بالثدي تم فحصهن بالسونار .تم اختيار ذوات الكتل الصلبة لدراسة مستقبلية من خلال مقارنة نتائج فحص السونار مع نتائج الفحص النسجي لنماذج جراحية مفتوحة أخذت من الكتل زحيث اعتبرت المعاير المعتمدة لتميز كونها حميدة او خبيثة.تلك المعاير تم تطبيقها بدقة للتميز بين الكتل ,تصنيف السونار قورن بنتائج الفحص النسجي للعينات تم حساب .الحساسية ,الخصوصية والقيمة التنبؤية السالبة والموجبة للفحص بجهاز السونار .النتائج:أظهرت هذه الدراسه ان الفحص بالسونار 44% من كتل الثدي صنفت حميدة 56%كانت خبيثة ,11%من الكتل صنفت حميدة بالسونار شخصت خبيثة من خلال الفحص النسجي ,24% من الكتل صنفت خبيثة بالسونار شخصت حميدة بواسطة الفحص النسجي , ,كانت القيمه التنبوئيه الموجبه للفحص بالسونار75%والقيمه التنبوئيه السالبه للفحص89%. استنتاج:نستنتج من هذه الدراسه ان الفحص بالسونار ممكن الاستفادة منة لتمييز اغلب كتل الثدي الصلبة ومتابعة الحميد منها بواسطة فحوصات متكررة بالسونار واخضاع المشكوك من بينها الى الفحص الخلوي او النسجي ( ألنغزي).


Article
The Role of FNAC in the Diagnosis of Breast Lumps in Karbala…………………………………………….....

Author: Dr. Ali A. Ali
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2009 Volume: 2 no.6, 7 Issue: 4 Pages: 443-446
Publisher: Kerbala University جامعة كربلاء

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Abstract

objectives:The aim of this study is to find out the sensitivity of FNAC in the diagnosis ofbreast lumps in Kar bala.Patients & Methods: This is a clinical study of FNAC of breast lumps done in ALHusseinTeaching Hospital in Karbala, from May 2005-May 2007. FNAC findings werecorrelated with the histopathological findings of the excised lump of the same patient todetermine the sensitivity of FNAC.Results: Eighty five cases were included in the study, one male and eighty four females. The agerange was between 20-70 years. Benign cases composed 52.9% (45 patients) while malignantcases were 47.1% (40 patients) of the total number of patients. Sensitivity was 92%.Conclusion: FNAC of the breast is a simple, , highly sensitive test . It can minimize the need foropen biopsy, and is recommended as a routine test for determining benign or malignant lesions incorrelation with clinical examination and imaging procedures.Key Words: FNAC, breast lumps, breast disease diagnosis, breast lumps in Karbala.


Article
Study of Risk Factors for Breast Cancer in A Hundred Breast Cancer Patients

Authors: Sorror Mahdi Latif --- Sorror Mahdi Latif --- Kholod Dhaher Habib
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 4 Pages: 375-379
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Breastfeeding has been found to provide a measure of protection against uterine, cervical and ovarian cancers as well as breast cancer. . It's long been known that breast cancer is common in situations where women have few children and breast feed for short periods. Various physiopatholoical mechanisms are involved in the protective effect of breast feeding; anovulation , and cellular differentiation of the mammary cells.OBJECTIVE:To assess the impact of breast feeding on breast cancer incidence.METHODS:One hundred married Women with breast cancer were evaluated to find out the impact of breast feeding on breast cancer incidence in these women .Data on risk factors were collected by self-administered questionnaires .The questionnaire included data like woman's age of having breast cancer ,woman's age at menopause , woman's age of first full term pregnancy , number of pregnancies ,lactation period , the age at menarche ,woman's social habit like smoking , type of contraception ,and family history of breast cancer ,the data were collected and analyzed .RESULTS:We studied 100 married women with breast cancer .Their age groups were distributed between 22years and 55 years when they had been discovered to have breast cancer, most of women were house wives (81%).Only three of them were smokers. Seventy nine women had menarche between age of 13-15 years, and only 4 of them had menarche at 16-17 years. Thirteen women had one full term pregnancy, other 48 women had 2- 4 full term pregnancies and only 38women had more than 5full term babies. According to lactation periods we found that 21 women had never lactating their babies, 49 women lactated their children for 7-12 months and only 18 women lactated their children for 19-24 months. Regarding the age of women at first full term baby birth, there were 4 women had their first full term baby at age of 14-17 years ,58 women at age of 18-22 years , 37 women at age of 23-33 years and only one woman at age of 35year.CONCLUSION:There was significant increasing risk of breast cancer with reducing periods of lactation (p value <0.001), with decreasing age at menarche (p value<0.001), early age of marriage (p value <0.001), and early age of having first full term baby (p value<0.001) .We can conclude that lactation for more than 24 months can provides important benefits for the women's health, such as reduced risk of breast cancer. There was no evidence of a statistically significant difference in breast cancer risk between subjects who had ever smoked and those who had not. There was a statistically insignificant relationship between a positive Family history of breast cancer, and increasing risk of breast cancer, (p value >0.05).


Article
Breast Lesions During Pregnancy Diagnosed by Fine Needle Aspiration Cytology

Authors: Sazan A. M. Al-Atrooshi --- Lubab Fadhil Talal
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 2 Pages: 184-190
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:The breast functions as a secretory gland during pregnancy due to the interaction of estrogen and progesterone, where the secretory unit is the lobule.OBJECTIVE:Is to highlight breast lesions during pregnancy and to show the importance of fine needle aspiration cytology in the diagnosis of these breast lesions.PATIENTS AND METHOD:This study was carried out within the Main Referral Training Center for Early Detection of Breast Tumors, Medical City Teaching Hospital, Baghdad (from the beginning of May 2006 till the end of August 2008). Fifty eight pregnant ladies presenting with different breast lesions were included, all were subjected to physical breast examination, ultrasonography of the breast and fine needle aspiration with 10 ml disposable syringe (20-22 gauge), spread on glass slides and fixed in 95% alcohol, stained with Pap stain and examined under light microscope.RESULT:Clinicopathological study of 58 pregnant ladies presented with breast lesions including the age (range between 17-42 years), chief complaint (pain 10(17.2%)cases, mass 30(51.8%) cases, discharge 3(5.2%) cases, painful mass 11(18.9%) cases, axillary mass 3(5.2%) cases and pain and discharge in 1(1.7%) case) , site of the lesion (left side 24(41.4%) cases, right side 27(46.5%) cases and bilateral in 7(12.1%) cases.), the time of presentation during pregnancy (first trimester 19(32.8%) cases, second trimester 26(44.8%) and third trimester 13(22.4%) cases.) Our results show that breast lesions presented during pregnancy were benign in 54 (93.1%) cases, and malignant in 4 (6.9%) cases (all were breast carcinoma), the benign lesions include: fibroadenoma 15(25.9%) cases, inflammatory lesions 13(22.4%) cases, galactocele 8(13.8%) cases, fibrocystic changes 6(10.3%) cases, pregnancy related changes 5(8.6%) cases, lactating adenoma 3(5.2%) cases, 2(3.5%) cases lipoma, and papilloma one (1.7%) case , and one case was diagnosed as accessory axillary breast tissue.CONCLUSION:The majority of breast lesions during pregnancy are benign; however, a small percentage of these lesions prove to be malignant. Aspiration cytology has a place in the work up of abnormal areas found in pregnant breasts but an experienced cytologist with knowledge of the clinical setting is required.

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