INVESTIGATING RADIOLOGICAL INSIGHTS OF BREAST CANCER WITH AGE AT JINNAH POSTGRADUATE MEDICAL CENTRE, KARACHI

Authors

  • KA SALDERA Department of Physiology, Basic Medical Sciences Institute, JPMC Karachi, Pakistan
  • TA KHAN Department of Physiology, University of Karachi, Pakistan
  • UBK SAMO Department of Physiology, Basic Medical Sciences Institute Karachi, Pakistan
  • S MEHBOOB Department of Pharmacology, Jinnah Post Graduate Medical Centre, Karachi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.788

Keywords:

Age Groups, Breast Cancer, Cancer, Radiology

Abstract

There is a conflicting opinion regarding the association between age and breast cancer in women. This study was conducted to investigate the histopathological findings of findings and features of diagnosed patients of breast cancer about their age and radiological findings of lesions and to determine the relation of aggressive findings in different age groups. Methods: A cross-sectional study was conducted in the Radiological Department, JPMC, Karachi, from September 2022- September 2023. To ascertain if the histological characteristics of the tumors were connected to the age of the patient, the histology reports of 100 women with breast cancer diagnoses underwent examination. Grading of their cancer based on BIRAD Classification was done on the radiological findings of ultrasound and mammography. Patients between 15 and 65 years were split into five different age groups. Patients who were naive and had never had any surgical or medicinal treatment for cancer before were included. After obtaining consent, a detailed questionnaire with the required data and physical and chemical parameters was completed. Tissue samples in studies mainly included trust biopsies, large mass removal, and tissues from mastectomies. Results: People under the age of 40 were shown to have a higher incidence of grade III infiltrating ductal carcinoma (P 0.0001). Lobular carcinomas were observed more frequently in the elderly group. With advancing age, there was a discernible decline in lymphoplasmacytic stromal response, axillary lymph node metastases, and vascular invasion, all unaffected by tumor grade. Conclusion: These findings imply that the histology of breast cancer may alter with age and that older patients may exhibit less aggressive characteristics in some circumstances.

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References

Lukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast cancer—epidemiology, risk factors, classification, prognostic markers, and current treatment strategies—an updated review. Cancers. 2021 Aug 25;13(17):4287. https://doi.org/10.3390/cancers13174287

Kumar A, Singla A. Epidemiology of breast cancer: current figures and trends. Preventive oncology for the gynecologist. 2019:335-9. https://doi.org/10.1007/978-981-13-3438-2_26

Ali A, Manzoor MF, Ahmad N, Aadil RM, Qin H, Siddique R, et al. The burden of cancer, government strategic policies, and challenges in Pakistan: A comprehensive review. Front Nutr. 2022 Jul 22; 9:940514. https://doi.org/10.3389/fnut.2022.940514

Exman P, Tolaney SM. HER2-positive metastatic breast cancer: A comprehensive review. CAH&O. 2021 Jan 1;19(1):40-50.

Todua F, Gagua R, Maglakelidze M, Maglakelidze D. Cancer incidence and mortality-Major patterns in GLOBOCAN 2012, worldwide and Georgia. Bull. Georgian Natl. Acad. Sci. 2015;9(1):168-73.

Chen HL, Zhou MQ, Tian W, Meng KX, He HF. Effect of age on breast cancer patient prognoses: a population-based study using the SEER 18 database. PloS one. 2016 Oct 31;11(10):e0165409. https://doi.org/10.1371/journal.pone.0165409

Zaheer S, Shah N, Maqbool SA, Soomro NM. Estimates of past and future time trends in age-specific breast cancer incidence among women in Karachi, Pakistan: 2004–2025. BMC public health. 2019 Dec;19:1-9. https://doi.org/10.1186/s12889-019-7330-z

Moon HJ, Kim EK, Kim MJ, Yoon JH, Park VY. Comparison of clinical and pathologic characteristics of ductal carcinoma in situ detected on mammography versus ultrasound only in asymptomatic patients. Ultrasound Med Bio. 2019 Jan 1;45(1):68-77. https://doi.org/10.1016/j.ultrasmedbio.2018.09.003

Johnson RH, Anders CK, Litton JK, Ruddy KJ, Bleyer A. Breast cancer in adolescents and young adults. PBC. 2018 Dec;65(12):e27397. https://doi.org/10.1002/pbc.27397

Bitencourt AG, Rossi Saccarelli C, Kuhl C, Morris EA. Breast cancer screening in average-risk women: towards personalized screening. Brit. J. Radiol.2019 Nov;92(1103):20190660. https://doi.org/10.1259/bjr.20190660

Monticciolo DL, Malak SF, Friedewald SM, Eby PR, Newell MS, Moy L, Destounis S, Leung JW, Hendrick RE, Smetherman D. Breast cancer screening recommendations inclusive of all women at average risk: update from the ACR and Society of Breast Imaging. JACR. 2021 Sep 1;18(9):1280-8. https://doi.org/10.1016/j.jacr.2021.04.021

Yazdani A, Yaseri M, Haghighat S, Kaviani A, Zeraati H. Investigation of prognostic factors of survival in breast cancer using a frailty model: a multicenter study. Breast Cancer: Basic Clin. Res. 2019 Sep; 13:1178223419879112. https://doi.org/10.1177/1178223419879112

Akrami M, Sepahdar A, Arasteh P, Tahmasebi S, Zangouri V, Askari A, Pezeshki B, Talei A. Do site and type of metastasis in breast cancer show a changing pattern with increased age? A cross comparison of clinicopathological characteristics between age groups. World J. Surg. Oncol. 2018 Dec;16(1):1-7. https://doi.org/10.1186/s12957-018-1435-1

Hu C, Hart SN, Gnanaolivu R, Huang H, Lee KY, Na J, et al. A population-based study of genes previously implicated in breast cancer. NEJM. 2021 Feb 4;384(5):440-51. DOI: 10.1056/NEJMoa2005936

Plichta JK, Thomas SM, Vernon R, Fayanju OM, Rosenberger LH, Hyslop T, Hwang ES, Greenup RA. Breast cancer tumor histopathology, stage at presentation, and treatment in the extremes of age. Breast Cancer Res Treat. 2020 Feb;180:227-35. https://doi.org/10.1007/s10549-020-05542-4

Beňačka R, Szabóová D, Guľašová Z, Hertelyová Z, Radoňák J. Classic and new markers in diagnostics and classification of breast cancer. Cancers. 2022 Nov 5;14(21):5444. https://doi.org/10.3390/cancers14215444

Schoemaker MJ, Nichols HB, Wright LB, Brook MN, Jones ME, O’Brien KM, Adami HO, Baglietto L, Bernstein L, Bertrand KA, Boutron-Ruault MC. Association of body mass index and age with subsequent breast cancer risk in premenopausal women. JAMA oncol. 2018 Nov 1;4(11):e181771-. doi:10.1001/jamaoncol.2018.1771

DeSantis CE, Miller KD, Dale W, Mohile SG, Cohen HJ, Leach CR, et al. Cancer statistics for adults aged 85 years and older, 2019. CA: Cancer J clin. 2019 Nov;69(6):452-67. https://doi.org/10.3322/caac.21577

Lyndin M, Hyriavenko N, Sikora V, Lyndina Y, Soroka Y, Romaniuk A. Invasive breast carcinoma of no special type with medullary pattern: morphological and immunohistochemical features. Turk J Pathol. 2022;38(3):205. doi: 10.5146/tjpath.2021.01559

Yazdani-Charati R, Hajian-Tilaki K, Sharbatdaran M. Comparison of pathologic characteristics of breast cancer in younger and older women. CJIM. 2019;10(1):42.doi: 10.22088/cjim.10.1.42.

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Published

2024-04-01

How to Cite

SALDERA , K., KHAN , T., SAMO , U., & MEHBOOB , S. (2024). INVESTIGATING RADIOLOGICAL INSIGHTS OF BREAST CANCER WITH AGE AT JINNAH POSTGRADUATE MEDICAL CENTRE, KARACHI. Biological and Clinical Sciences Research Journal, 2024(1), 788. https://doi.org/10.54112/bcsrj.v2024i1.788