ULTRASONOGRAPHY AS SCREENING TOOL FOR BREAST CANCER IN YOUNG WOMEN UNDER 40 YEARS OLD
Abstract
Introduction: Breast cancer’s incidence in Indonesia is 42.1/100.000 women. And incidence for women under 40 years old is 13%. It’s not very common for young women to do breast cancer screening unless they have higher risk and come to physician with symptoms or breast lump. Screening recommended for young women is magnetic resonance imaging (MRI). But MRI screening is more expensive thus USG screening also used as screening alternative for breast cancer in young women.
Discussion: Breast cancer in young women is not common but more aggressive, have poor prognosis, also have a higher risk of recurrency and mortality. Screening is needed to decrease mortality rate and the gold standard for breast cancer screening is mammography. But the breast density in young women is higher and it is difficult to detect with mammography so USG or MRI is used instead. Some guidelines recommend using USG with comparable sensitivity and specificity as mammography.
Conclusion: USG is a potential and effective tool for breast cancer screening in young women.
Downloads
References
2. WHO. Breast cancer [Internet]. Tersedia pada: https://www.who.int/cancer/detection/breastcancer/en/index1.html
3. Departemen Kesehatan RI. Hari kanker sedunia [Internet]. 2019. Tersedia pada: http://www.depkes.go.id/article/view/19020100003/hari-kanker-sedunia-2019.html
4. Sood R, Rositch AF, Shakoor D, Ambinder E, Pool K, Pollack E. Ultrasound for breast cancer detection globally : a systematic review and meta-analysis abstract. J Glob Oncol. 2019;5:1–17.
5. Gabriel CA, Domchek SM. Breast cancer in young women. Breast Cancer Res. 2010;12:1–10.
6. Partridge AH, Pagani O, Abulkhair O, Aebi S, Amant F, Azim HA, et al. First international consensus guidelines for breast cancer in young women ( BCY1 ). The Breast [Internet]. 2014;23(3):209–20. Tersedia pada: http://dx.doi.org/10.1016/j.breast.2014.03.011
7. Evans A, Trimboli RM, Athanasiou A, Balleyguier C, Baltzer PA, Bick U, et al. Breast ultrasound : recommendations for information to women and referring physicians by the European Society of Breast Imaging. Insights Imaging. 2018;9:449–61.
8. Mann RM, Balleyguier C, Baltzer PA, Bick U, Colin C, Cornford E, et al. Breast MRI : EUSOBI recommendations for women ’ s information. Eur Radiol. 2015;25:3669–78.
9. Anastasiadi Z, Lianos GD, Ignatiadou E, Harissis H V, Mitsis M. Breast cancer in young women : an overview. Updates Surg. 2017;69(3):313–7.
10. Ramli M. Update breast cancer management diagnostic and treatment. Majalah Kedokteran Andalas. 2015;38:28–53.
11. American Cancer Society. Breast cancer facts & figures 2019-2020 [Internet]. American Cancer Society. 2019 [dikutip 19 April 2020]. Tersedia pada: http://www.cdc.gov/cancer/breast/young_women/index.htm
12. Sree S, Ng E, Acharya R, O F. Breast imaging: a survey. World J Clin Oncol. 2011;2(4):171–8.
13. Lehman C, Lee C, Loving V, Portillo M, Peacock S, Demartini W. Accuracy and value of breast ultrasound for primary imaging evaluation of symptomatic women 30-39 years of age. Am J Roentgenol. 2012;199(5):1169–77.
14. Thigpen D, Kappler A, Brem R. The role of ultrasound in screening dense breasts — a review of the literature and practical solutions for implementation. Diagnostics. 2018;4:1–14.
SUBMISSION
