Kosar Abbas Saldera, Abdul Raheem Tunio, Naveed Ahmed, Muhammad Irfan, Ufaque Batool Samo.
Incidental breast cancers identified on screening mammograms.
Pak J Radiol Nov ;34(3):135-40.

Objective: Breast carcinoma may display no symptoms in its initial stages; therefore, screening programs are crucial for the early identification of breast malignancies. Moreover, in patients who exhibit breast-related symptoms, breast carcinomas may be located distally from the symptomatic area. The objective of this study was to evaluate the prevalence, anatomical location, and imaging techniques employed in the detection of these incidental malignancies within the symptomatic one-stop breast clinic. Methods: All individuals who presented at department of Radiology at DHQ hospital exhibiting breast-related symptoms during a two-year timeframe were incorporated into the research. We conducted a correlation analysis between the initial symptoms of patients subsequently diagnosed with breast cancer and the results obtained from imaging modalities (mammography and ultrasound). Incidental malignancies were delineated as "histologically verified breast carcinomas that were non-palpable, distant from the symptomatic region, and solely detected through imaging techniques." Results: During the investigative timeframe, a total of 281 female patients were ascertained to have breast cancer from 440 individuals evaluated. A subset of thirty-six patients (12.8%) who received a diagnosis of breast cancer presented with incidental malignancies that were exclusively detected through imaging modalities. The predominant instances of contralateral incidental cancers were discerned utilizing both mammography and ultrasound (US), with all patients being over the age of 35 years. Conclusion: We suggest mammography of both breasts and US of the symptomatic breast in order to identify incidental cancers. Key Words: Breast, Cancer, Mammography, Ultrasonography

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