Title: Breast cancer of young women. prevention, problems of pregnancy and lactation. Retrospective study from the department of radiology clinic
Jana Slobodníková, M.D., CSc., Vladimir Meluš, RN Dr., PhD, MPH, Miroslav Černický. Mgr, PhD.,
Alexander Dubcek University of Trenčín, Slovakia
Introduction: Breast cancer is the most common malignancy of the female population; the incidence is increasing mainly statistically between 50s and 60s, 60s and 70s. Recently, however, we meet more often with the occurrence of breast cancer in women in 30s and significantly between 20 and 40 years. For women at this age range in Slovakia, preventive or screening mammography doesn’t exist, only sonography and clinical self-examination by touch.
Methodology: In period from 1.5.2005 and 30.6.2016 we performed more than 70,000 mammography examinations and more than 185,000 ultrasound examinations. The youngest patient was 6 months and the oldest was 94 years. Patients were sent for examination by attending gynecologist, general practitioner. Preventive examinations completed asymptomatic women without clinical symptoms. Young women and girls were examined by ultrasound with 18 MHz linear probe, with CFM and elastography. Next if necessary, we performed mammography, MR-mammography a CCB too. During the monitored period we diagnosed 398 new cases of the breast cancer, all cases are verified by histopathology. The age distribution of patients with newly diagnosed cancer we transparently stored in tables and graphs. We focused on women in the age group to 39 and 49-year-old. In the category women between 18s and 39s, we diagnosed 32 new cases of breast cancer, between 40s and 49s - 64 cases. Summary is that, we found 86 new cases of breast cancer in women between 18 and 49 years. We analyzed the different findings, especially with respect to possibility of diagnostic self-examination, combined with ultrasound, MR mammography, mammography and core cut biopsy under ultrasound control. The number of the young women with new diagnosed breast cancer slowly increased. Our aim is the early diagnostics, without vascular cancer and vascular invasivity, without the lymphadenopathy. We retrospectively focused on genetic anamnesis factor, short time of the diagnosis and therapy.
Results: However, despite the fact that Slovakia has enacted preventive investigation of the breast young women from the 20 to 40th of clinically and sonographically, encountered in practice, often with cases of breast cancer diagnosed late.
Conclusion: we highlight the diversity of clinical symptoms and the possibility of imaging diagnostic techniques in the diagnosis of breast disease of young women. We also want to draw attention to some underestimation of clinical symptoms, while revaluation results of sonographic examinations. An important factor is the quality of the ultrasound device and effective consultation and cooperation with other diagnostic departments.
Audience Take Away:
- Education about self-examination,
- Information on incidence of breast cancer in young women, investigation algorithms,
- Work with model for breast self-examination
- Work for self-help groups of women after surgery for breast cancer, lectures, practical training of rehabilitation techniques and the like.
Jana Slobodníková, M.D., CSc, Ass. Prof. - born in 1961 in Czech Republic, graduated on Charles University in Prague, Faculty of Medicine, specialization of Radiology I and II. Gr. Post-doc graduated – CSc. (PhD) completed at the age 38 years at the Institute of Experimental Oncology, Slovak Academy of Sciences. Ass. Prof. in 43 years from Tyrnaviensis University, hosting professor at age 45 from St. Elizabeth High School in Bratislava. She has been teaching at several universities in Prague, Trenčín, Trnava and Bratislava.
She worked for 8 years as a head of the Radiology Clinic of the St. Elizabeth Oncology Institute in Bratislava, and now she is also head of the Department of Laboratory Testing Methods in Health Care and Public Haelth of Facuty of the Health Care on Alexander Dubček University of Trenčin, head of Clinic of Radiology in Trencin. She is author of teaching text, university textbooks, lead workshops, she organized international congresses and workshops.
She has published more than 90 scientific papers, from then 25 papers in renowned journals and has been active as editorial board member of repute in 5 scientific periodicals. She has published 3 monographies, and has founded the Section of Breast Imaging in 1996. Since 1996 is president of the Section of Breast Imaging of Slovak radiologic Society and vice president of the Slovak Society of Ultrasound in Medicine. Membership in organizations: ECR, EUSOBI, EFSUMB, SSUM (Slovak Society of Ultrasound in Medicine) and SRS (Slovak Radiology Society).