PB.47: Mammography in symptomatic women aged 35 to 39 years
© Chan et al.; licensee BioMed Central Ltd. 2013
Published: 8 November 2013
Until recently, in our institution, all women over the age of 35 years referred to the symptomatic breast clinic for triple assessment undergo mammography. Best practice diagnostic guidelines for patients presenting with breast symptoms (Department of Health November 2010) recommend that mammograms should routinely be performed in women aged over 40 years. The aim of this study was to assess the impact that changing our policy would have on breast cancer detection in women aged 35 to 39 years.
Our Breast Cancer Database identified all women aged 35 to 39 years diagnosed with breast cancer between April 2003 and December 2012. A retrospective review of breast imaging and reports on PACS was carried out to determine whether ultrasound alone would have detected the malignancy.
106 cancers were diagnosed in 103 women aged 35-39 years. In 103 cases, ultrasound scores using the RCR Breast Group Classification ranged from U3 (indeterminate/probably benign) to U5 (highly suspicious of malignancy). Two patients presented with nipple discharge. One of these patients had mammographic microcalcification due to extensive DCIS with small separate foci of invasive cancer with normal ultrasound examination.
In our institution, one case of extensive DCIS with small separate foci of invasive cancer out of a total of 106 breast cancers would have been missed on breast imaging if routine mammography had not been performed in women aged 35-39 years.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.