Presentation of self-detected breast mass in minority women with limited access to care: Can self-examination assist in early cancer detection?
| Autor: | Zi Zhang, Oreoluwa Ojutiku, Soumya Vempalle, Ramya Rao, Victoria L. Mango, Priscilla Wilson-Gardner |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population Breast Neoplasms Physical examination Health Services Accessibility Article 030218 nuclear medicine & medical imaging 03 medical and health sciences Breast cancer screening 0302 clinical medicine Breast cancer medicine Humans Mass Screening Mammography Radiology Nuclear Medicine and imaging skin and connective tissue diseases education Early Detection of Cancer Retrospective Studies Breast self-examination education.field_of_study medicine.diagnostic_test business.industry Obstetrics Retrospective cohort study medicine.disease United States Self-Examination 030220 oncology & carcinogenesis Female business |
| Zdroj: | Clin Imaging |
| ISSN: | 0899-7071 |
| DOI: | 10.1016/j.clinimag.2020.10.032 |
| Popis: | Objective The United States Preventive Services Task Force recommends against breast self-examination. However, racial disparities exist in mammogram screening. We aimed to evaluate the presentation of women with newly diagnosed breast cancer in the underserved African-American and Hispanic community to provide insight regarding breast cancer screening in this population. Methods This retrospective cohort study included women newly diagnosed with breast cancer from 1/1/2016 to 1/1/2018 in an inner city public community hospital. Data was collected via chart review. Patients were divided based on whether they presented with self-detected breast mass. Logistic regression was used for analysis. Results 59 women were newly diagnosed with breast cancer. 34 women (58%) were African-American, 20 (34%) were Hispanic, and 5 (8%) were other race. Of 59 women, 36 (61%) presented with self-detected breast mass, and only 21 (36%) reported prior mammography. For women who presented with breast mass, the odds of having prior mammography were 78% lower (OR = 0.22, 95% CI 0.07–0.69, p = 0.009), while the odds of having invasive ductal carcinoma were 4.33 times higher (OR = 4.33, 95% CI 1.09–17.25, p = 0.037), as compared to the odds for women not presenting with breast mass. Conclusion Many of our newly diagnosed breast cancer patients were African-American or Hispanic women presenting with self-detected breast mass without prior screening mammography. Further studies should evaluate whether supplemental screening methods, such as breast self-examination or clinical examination, can help with early breast cancer detection in minority women with limited access to care, and such disparities should be considered by organizations when creating screening guidelines. |
| Databáze: | OpenAIRE |
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