Objectives: Mammography has remained the gold standard globally for breast cancer screening. Patients with breast lesions in our environment are generally anxious due to the fact that breast cancer is associated with high mortality. This study aims to review the pattern of breast lesions in our environment.Method: This is a Retrospective study of Mammographic reports of women who had mammogram for screening and diagnostic purposes between March 2017 and November 2019.Results: The commonest indication for mammography in the study was breast lump (38.6%). BIRADS II was the most prevalent category constituting 40.3% followed by BIRADS I accounting for 27.3% .Patients with Positive BIRADS (IV and V) for malignancy account for 19.1% while Negative BIRADS (I, II and III) accounted for 79.6%.Conclusion: Majority of the breast lesions were benign and breast lump was the most prevalent complaint.
The incidence of cancer is increasing globally with a greater burden expected to be borne by poor and middle income countries by 2030 where the will and resources to tackle the situation are absent 1 .In a report published by Jedy-Agba E et al in 2012 from population-based cancer registries in the Southwest and North central region of Nigeria shows that the most common male and female cancers in Nigeria are cancer of the prostate and cancer of the breast respectively 2. The peak incidence of breast cancer in Nigerian women is about a decade earlier than in Caucasians with about 57% of breast cancer cases in Nigeria occurring in women under 50 years of age 3 .In Nigeria and most sub-Saharan African countries, breast cancer patients generally tend to present at a younger age when compared to Caucasians and most of the presentations are in the late stages of the disease when the prognosis is really poor 4,5. The lower proportion of mortality recorded in the developed nations is a result of better awareness of the disease, more organized screening programs for early detection and availability of an effective treatment. Studies in Nigeria show a high level of breast cancer awareness as a fatal disease that needs early detection for a better outcome. However, the high level of awareness does not translate to a higher rate of screening practice 6,7. Globally, it is an agreed fact that early detection of breast cancer improves the survival rate, hence screening of otherwise healthy patients is advocated especially those with a family history of breast cancer 8,9. Screening programs exist in most western nations were early breast cancer detection screening techniques like Breast Self-Examination (BSE), Clinical Breast Examination (CBE) and mammogram are being advocated. Although, in some countries, it has become a point of criticism in recent years owing to the facts that it has led to an increase in healthcare cost and detection of otherwise clinically insignificant breast lesions. The American Cancer Society (ACS)
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