Clinical characteristics of breast cancer patients admitted to academic surgical wards in Tehran, Iran: an analytical cross-sectional study.


Journal

BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690

Informations de publication

Date de publication:
25 09 2023
Historique:
received: 10 06 2023
accepted: 06 09 2023
medline: 26 9 2023
pubmed: 25 9 2023
entrez: 24 9 2023
Statut: epublish

Résumé

Breast cancer (BC) is the most commonly diagnosed cancer and the leading cause of cancer death among women. Knowledge of the clinical characteristics of BC in a population may be informative for disease prediction or diagnosis and for developing screening and diagnostic guidelines. This study aimed to evaluate the clinical characteristics of female patients with BC who were admitted to academic surgical wards in Tehran, Iran. In this cross-sectional study, demographic information and clinical characteristics of Iranian females with BC who had undergone breast surgery from 2017-2021 in four academic Breast Surgery Units were extracted from medical files and recorded via a pre-designed checklist. A total of 1476 patients with a mean age of 48.03 (± 11.46) years were enrolled. Among them, 10.4% were aged less than 35. In younger patients, Triple-negative and Her2-enriched subtypes of BC were significantly higher compared to older ones. Overall, 85.7% of tumors were invasive ductal carcinoma, 43.3% were grade 2, 41.4% were located in the UOQ, and 65.2% had presented with mass palpation. The mean pathologic tumor size was 28.94 mm, and the most common subtype was luminal B. Many characteristics of breast cancer in this study were similar to other countries and previous studies in Iran. However, a higher proportion of young BC compared with Western countries, and even with older studies in Iran, suggest a trend toward lower age for BC in recent years. These results indicate the need for preventive measures and screening in Iranian women at a younger age.

Sections du résumé

BACKGROUND
Breast cancer (BC) is the most commonly diagnosed cancer and the leading cause of cancer death among women. Knowledge of the clinical characteristics of BC in a population may be informative for disease prediction or diagnosis and for developing screening and diagnostic guidelines. This study aimed to evaluate the clinical characteristics of female patients with BC who were admitted to academic surgical wards in Tehran, Iran.
METHODS
In this cross-sectional study, demographic information and clinical characteristics of Iranian females with BC who had undergone breast surgery from 2017-2021 in four academic Breast Surgery Units were extracted from medical files and recorded via a pre-designed checklist.
RESULTS
A total of 1476 patients with a mean age of 48.03 (± 11.46) years were enrolled. Among them, 10.4% were aged less than 35. In younger patients, Triple-negative and Her2-enriched subtypes of BC were significantly higher compared to older ones. Overall, 85.7% of tumors were invasive ductal carcinoma, 43.3% were grade 2, 41.4% were located in the UOQ, and 65.2% had presented with mass palpation. The mean pathologic tumor size was 28.94 mm, and the most common subtype was luminal B.
CONCLUSIONS
Many characteristics of breast cancer in this study were similar to other countries and previous studies in Iran. However, a higher proportion of young BC compared with Western countries, and even with older studies in Iran, suggest a trend toward lower age for BC in recent years. These results indicate the need for preventive measures and screening in Iranian women at a younger age.

Identifiants

pubmed: 37743485
doi: 10.1186/s12905-023-02637-0
pii: 10.1186/s12905-023-02637-0
pmc: PMC10518944
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

511

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

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Auteurs

Reza Pourriahi (R)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.

Ramesh Omranipour (R)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.
Department of Surgical Oncology, Tehran University of Medical Sciences, Tehran, Iran.

Sadaf Alipour (S)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.
Department of Surgery, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Leila Hajimaghsoudi (L)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.
Department of Surgery, Shahid Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran.

Negar Mashoori (N)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.

Adel Yazadnkhah Kenary (AY)

Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Mandana Motamedi (M)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.
Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran.

Mahsa Tavakol (M)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.

Mahta Mohammadzadeh (M)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.

Shiller Hessamiazar (S)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran.

Samira Shabani (S)

Department of Neurology, Tehranpars Hospital, Tehran, Iran.

Fatemeh Mahmoodi (F)

Fatemehzahra Hospital, Iran University of Medical Sciences, Tehran, Iran.

Mohammadreza Mirzaee Goodarzi (MM)

Medical School, Tehran University of Medical Sciences, Tehran, Iran.

Bita Eslami (B)

Breast Diseases Research Center, Cancer Institute, Tehran University of Medical Sciences, Imam Khomeini Complex Hospital, 2nd Floor, Sadaf Building, Keshavraz Blvd, Tehran, 1419733141, Iran. dr.bes.96@gmail.com.

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