Document Type : Original Article

Authors

• Fatemeh Jafari ¹
• Sepideh Mohseni Heidari ²
• Layla Shojaie ³
• Mohebat Vali ¹
• Fatemeh Jahani ⁴
• Seyed-Mostaffa Mirzad ⁴
• Hossein-Ali Nikbakht ²
• Soheil Hassanipour Azgomi ⁵
• Mousa Ghelichi- Ghojogh ⁶
• Haleh Ghaem ⁷

¹ Student Research Committee,Shiraz University of Medical Sciences, Shiraz, Iran

² Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

³ Division of GI/Liver, Department of Medicine, Keck school of Medicine, University of Southern California, Los Angeles, CA, USA

⁴ Department of Health, Babol University of Medical Sciences, Babol, Iran

⁵ Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran

⁶ Neonatal and Children’s Health Research Center ResearchCenter, Golestan University of Medical Science, Gorgan, Iran

⁷ Non-Communicable Diseases Research Center, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Successful treatment of breast cancer (BC) depends on its early detection, which has a significant role in reducing its mortality. The purpose of this study was to evaluate the services provided and the results in women referred to Babol Health Center Breast Cancer Screening Clinic.
Methods: This cross-sectional study was performed on 1421 individuals. Data were collected using a questionnaire, including demographic information, health history, and screening questions. Initial examinations were performed by midwives at the centers, and suspected or family history cases were referred to counseling centers and then to a physician for mammography. All follow-up was recorded by an expert in the center.
Results: The mean age of the subjects was 46.19±8.84 years, and that at first delivery was 21.08±4.38; 93 (6.5%) of them had a history of infertility and 253 (17.8%) had a family history of BC. Of those who did a clinical examination, mammography and ultrasound, 580 (40.9%), 171 (12%), and 441 (31.1%) had BIRADS above two, respectively, and 12 of those who performed biopsy had a positive mass result. Among the other variables studied, history of benign tumor (OR=2.86, P<0.001) and changes in breast skin (OR=2.96, P=0.021) and change in the breast size (OR=2.92, P. value=0.020). ) was observed in predicting effective mammography. In the random forest chart, the history of benign tumors showed 20.34% of mammographic predictions. Breast self-examination with 12.06% and then hormonal drugs with 10.45% were in the second and third ranks.
Conclusion: Using two methods of clinical examination and mammography will identify most people in stage 2 who have a good prognosis. Given the proper functioning of the center, it is suggested that more extensive screening should be done to reduce the prevalence and costs of treatment.

Keywords

• Breast neoplasms
• Mass screening
• Mammography
• Breast self-examination