Skip to content
2000
Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
side by side viewer icon HTML

Abstract

Background

The characteristic imaging findings of breast cancer in young women are not yet fully understood. It causes a delay in diagnosis by mixing with benign findings.

Objective

To evaluate the relationship between the imaging and histopathological features of breast cancer in women aged under 40 years.

Methods

In our center, 537 suspicious lesions were detected in a total of 15,223 adult female patients under 40 years who were evaluated by breast ultrasonography (US). As a result of the mammographic, histopathological, and immunohistochemical analysis, 101 lesions meeting the study criteria were included in the sample.

Results

The luminal subtypes of breast cancer mostly visualized as irregularly shaped spiculated lesions with calcification and architectural distortion mammography and presented as masses that were sometimes accompanied by increased echogenicity in the surrounding tissue on US. The human epidermal growth factor receptor 2 (HER2) enriched subtypes mostly had microlobulated or indistinct margins with heterogeneous echoes accompanied by high calcification on mammography. The triple-negative (TN) subtypes generally appeared as microlobulated lesions with angular or indistinct margins, hypo echogenicity, posterior enhancement or shadowing, and vascularization.

Conclusion

Some radiological features of breast cancer in young women were found to be associated with molecular subtypes similar to other age groups in the literature. However, unlike other age groups, the incidences of the HER2-enriched subtype presenting with only calcification, TN subtypes presenting with circumscribed masses, and calcification were found to be low among the young women in our study.

© 2024 The Author(s). Published by Bentham Open. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/cmir/10.2174/1573405620666230721124048
2024-01-01
2024-11-23
Loading full text...

Full text loading...

/deliver/fulltext/cmir/20/1/CMIM-20-e210723218990.html?itemId=/content/journals/cmir/10.2174/1573405620666230721124048&mimeType=html&fmt=ahah

References

  1. GiaquintoA.N. SungH. MillerK.D. KramerJ.L. NewmanL.A. MinihanA. JemalA. SiegelR.L. Breast cancer statistics, 2022.CA Cancer J. Clin.202272652454110.3322/caac.2175436190501
    [Google Scholar]
  2. Cathcart-RakeE.J. RuddyK.J. BleyerA. JohnsonR.H. breast cancer in adolescent and young adult women under the age of 40 years.JCO Oncol. Pract.202117630531310.1200/OP.20.0079333449828
    [Google Scholar]
  3. LeeS.K. KimS.W. YuJ.H. LeeJ.E. KimJ.Y. WooJ. LeeS. KimE.K. MoonH.G. KoS.S. NamS.J. Is the high proportion of young age at breast cancer onset a unique feature of asian breast cancer?Breast Cancer Res. Treat.2019173118919910.1007/s10549‑018‑4947‑z30238275
    [Google Scholar]
  4. NajjarH. EassonA. Age at diagnosis of breast cancer in arab nations.Int. J. Surg.20108644845210.1016/j.ijsu.2010.05.01220601253
    [Google Scholar]
  5. KheirelseidE.A.H. BoggsJ.M.E. CurranC. GlynnR.W. DooleyC. SweeneyK.J. KerinM.J. Younger age as a prognostic indicator in breast cancer: A cohort study.BMC Cancer201111138310.1186/1471‑2407‑11‑38321871129
    [Google Scholar]
  6. WHOBreast cancer fact and figures.American Cancer Society,Inc2017
    [Google Scholar]
  7. NasimZ. GirtainC. GuptaV. PatelI. HossainM.A. Breast cancer incidence and behavior in younger patients: A study from the surveillance, epidemiology and end results database.World J. Oncol.2020113889710.14740/wjon127832494315
    [Google Scholar]
  8. AndersC.K. FanC. ParkerJ.S. CareyL.A. BlackwellK.L. Klauber-DeMoreN. PerouC.M. Breast carcinomas arising at a young age: Unique biology or a surrogate for aggressive intrinsic subtypes?J. Clin. Oncol.2011291e18e2010.1200/JCO.2010.28.919921115855
    [Google Scholar]
  9. HanW. KimS.W. Ae ParkI. KangD. KimS.W. YounY.K. OhS.K. ChoeK.J. NohD.Y. Young age: An independent risk factor for disease-free survival in women with operable breast cancer.BMC Cancer2004418210.1186/1471‑2407‑4‑8215546499
    [Google Scholar]
  10. AndersC.K. HsuD.S. BroadwaterG. AcharyaC.R. FoekensJ.A. ZhangY. WangY. MarcomP.K. MarksJ.R. FebboP.G. NevinsJ.R. PottiA. BlackwellK.L. Young age at diagnosis correlates with worse prognosis and defines a subset of breast cancers with shared patterns of gene expression.J. Clin. Oncol.200826203324333010.1200/JCO.2007.14.247118612148
    [Google Scholar]
  11. SunX. LiuJ. JiH. YangM. LuY. Clinicopathological characteristics and prognosis of breast cancer in young women: A single center study in a developing country.Cancer Manag. Res.2021131601160710.2147/CMAR.S29906633628050
    [Google Scholar]
  12. FredholmH. MagnussonK. LindströmL.S. TobinN.P. LindmanH. BerghJ. HolmbergL. PonténF. FrisellJ. FredrikssonI. Breast cancer in young women and prognosis: How important are proliferation markers?Eur. J. Cancer20178427828910.1016/j.ejca.2017.07.04428844016
    [Google Scholar]
  13. HuX. MyersK.S. OluyemiE.T. PhilipM. AziziA. AmbinderE.B. Presentation and characteristics of breast cancer in young women under age 40.Breast Cancer Res. Treat.2021186120921710.1007/s10549‑020‑06000‑x33136248
    [Google Scholar]
  14. LehmanC.D. LeeC.I. LovingV.A. PortilloM.S. PeacockS. DeMartiniW.B. Accuracy and value of breast ultrasound for primary imaging evaluation of symptomatic women 30-39 years of age.AJR Am. J. Roentgenol.201219951169117710.2214/AJR.12.884223096195
    [Google Scholar]
  15. BullierB. MacGroganG. BonnefoiH. Hurtevent-LabrotG. LhommeE. BrousteV. Boisserie-LacroixM. Imaging features of sporadic breast cancer in women under 40 years old: 97 cases.Eur. Radiol.201323123237324510.1007/s00330‑013‑2966‑z23918218
    [Google Scholar]
  16. CardosoF. LoiblS. PaganiO. GraziottinA. PanizzaP. MartincichL. GentiliniO. PeccatoriF. FourquetA. DelalogeS. MarottiL. Penault-LlorcaF. Kotti-KitromilidouA.M. RodgerA. HarbeckN. The european society of breast cancer specialists recommendations for the management of young women with breast cancer.Eur. J. Cancer201248183355337710.1016/j.ejca.2012.10.00423116682
    [Google Scholar]
  17. DesreuxJ.A.C. Breast cancer screening in young women.Eur. J. Obstet. Gynecol. Reprod. Biol.201823020821110.1016/j.ejogrb.2018.05.01829804884
    [Google Scholar]
  18. Elizabeth HammondM.H. HayesD.F. DowsettM. American society of clinical oncology/college of american pathologists guideline recommendations for immunohistochemical testing of estrogen and progesterone receptors in breast cancer.Unabridged Version2010
    [Google Scholar]
  19. CheangM.C.U. ChiaS.K. VoducD. GaoD. LeungS. SniderJ. WatsonM. DaviesS. BernardP.S. ParkerJ.S. PerouC.M. EllisM.J. NielsenT.O. Ki67 index, HER2 status, and prognosis of patients with luminal B breast cancer.J. Natl. Cancer Inst.20091011073675010.1093/jnci/djp08219436038
    [Google Scholar]
  20. CollinsL.C. MarottiJ.D. GelberS. ColeK. RuddyK. KereakoglowS. BrachtelE.F. SchapiraL. ComeS.E. WinerE.P. PartridgeA.H. Pathologic features and molecular phenotype by patient age in a large cohort of young women with breast cancer.Breast Cancer Res. Treat.201213131061106610.1007/s10549‑011‑1872‑922080245
    [Google Scholar]
  21. TangL.C. JinX. YangH.Y. HeM. ChangH. ShaoZ.M. DiG.H. Luminal B subtype: A key factor for the worse prognosis of young breast cancer patients in china.BMC Cancer201515120110.1186/s12885‑015‑1207‑z25885213
    [Google Scholar]
  22. HuangJ. LinQ. CuiC. FeiJ. SuX. LiL. MaJ. ZhangM. Correlation between imaging features and molecular subtypes of breast cancer in young women (≤30 years old).Jpn. J. Radiol.202038111062107410.1007/s11604‑020‑01001‑832562180
    [Google Scholar]
  23. AnY.Y. KimS.H. KangB.J. ParkC.S. JungN.Y. KimJ.Y. Breast cancer in very young women (<30 years): Correlation of imaging features with clinicopathological features and immunohistochemical subtypes.Eur. J. Radiol.201584101894190210.1016/j.ejrad.2015.07.00226198117
    [Google Scholar]
  24. BrobergA. GlasU. GustafssonS.A. HellströmL. SomellA. Relationship between mammographic pattern and estrogen receptor content in breast cancer.Breast Cancer Res. Treat.19833220120710.1007/BF018035626616077
    [Google Scholar]
  25. SantiagoD EugênioG SouzaJA Breast cancer diagnosed before the 40 years :Imaging findings and correlation with histology and molecular subtype.201717
    [Google Scholar]
  26. SardanelliF. GiuseppettiG.M. PanizzaP. BazzocchiM. FaustoA. SimonettiG. LattanzioV. Del MaschioA. Sensitivity of MRI versus mammography for detecting foci of multifocal, multicentric breast cancer in Fatty and dense breasts using the whole-breast pathologic examination as a gold standard.AJR Am. J. Roentgenol.200418341149115710.2214/ajr.183.4.183114915385322
    [Google Scholar]
  27. RedmondCE HealyGM MurphyCF O’DohertyA FosterA The use of ultrasonography and digital mammography in women under 40 years with symptomatic breast cancer: a 7-year Irish experience.Irish J Med Sci20161866367
    [Google Scholar]
  28. KimJ. JangM. KimS.M. YunB.L. LeeJ.Y. KimE-K. KangE. ParkS.Y. Clinicopathological and imaging features of breast cancer in korean women under 40 years of age.J. Korean Soc. Radiol.201776637510.3348/jksr.2017.76.6.375
    [Google Scholar]
  29. Au-YongI.T.H. EvansA.J. TanejaS. RakhaE.A. GreenA.R. PaishC. EllisI.O. Sonographic correlations with the new molecular classification of invasive breast cancer.Eur. Radiol.200919102342234810.1007/s00330‑009‑1418‑219440719
    [Google Scholar]
  30. IanT.W.M. TanE.Y. ChotaiN. Role of mammogram and ultrasound imaging in predicting breast cancer subtypes in screening and symptomatic patients.World J. Clin. Oncol.202112980882210.5306/wjco.v12.i9.80834631444
    [Google Scholar]
  31. KimM.Y. ChoiN. Mammographic and ultrasonographic features of triple-negative breast cancer: A comparison with other breast cancer subtypes.Acta Radiol.201354888989410.1177/028418511348858023761558
    [Google Scholar]
  32. OzmenV OzmenT DogruV. Breast cancer in turkey; an analysis of 20.000 patients with breast cancer.Eur J Breast Heal.201915427610.5152/ejbh.2019.4890
    [Google Scholar]
/content/journals/cmir/10.2174/1573405620666230721124048
Loading
/content/journals/cmir/10.2174/1573405620666230721124048
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test