Breast Imaging Considerations in Symptomatic Young, Pregnant, and Lactating Women

Author:

Chung Hannah L.ORCID,Joiner JanaORCID,Ferreira Dalla Pria Hanna R.ORCID,Jean ShanenORCID,Vishwanath VarnitaORCID,De Jesus CharlesORCID,Elhatw AhmedORCID,Guirguis Mary S.ORCID,Patel Miral M.ORCID,Moseley Tanya W.ORCID

Publisher

Springer Science and Business Media LLC

Subject

Oncology

Reference45 articles.

1. Mainiero MB, Moy L, Baron P, Didwania AD, diFlorio RM, Green ED, et al. ACR Appropriateness Criteria® Breast Cancer Screening. J Am Coll Radiol. 2017;14(11S):S383–90. https://doi.org/10.1016/j.jacr.2017.08.044.

2. Kim HJ, Kim S, Freedman RA, Partridge AH. The impact of young age at diagnosis (age <40 years) on prognosis varies by breast cancer subtype: A U.S. SEER database analysis. Breast. 2022;61: 77–83. https://doi.org/10.1016/j.breast.2021.12.006. Findings from this study suggest that with modern clinical subtyping, age below 40 remains independently associated with poorer outcomes at 30 months of follow-up among ER-positive, lower-grade cancers.

3. Hu X, Myers KS, Oluyemi ET, Philip M, Azizi A, Ambinder EB. Presentation and characteristics of breast cancer in young women under age 40. Breast Cancer Res Treat. 2021;186(1):209–217. https://doi.org/10.1007/s10549-020-06000-x. Findings from this study suggest prompt breast imaging for young women presenting with breast-related symptoms or an incidental breast finding, as younger patients have more aggressive cancer subtypes and are of a higher grade at presentation compared to older women. To minimize delays in diagnosis, the study also recommends carefully distinguishing suspicious symptoms from pregnancy-related breast changes.

4. Copson E, Eccles B, Maishman T, Gerty S, Stanton L, et al. POSH Study Steering Group. Prospective observational study of breast cancer treatment outcomes for UK women aged 18–40 years at diagnosis: the POSH study. J Natl Cancer Inst. 2013;105(13):978–88. https://doi.org/10.1093/jnci/djt134.

5. Yoon TI, Kwak BS, Yi OV, Kim S, Um E, Yun KW, et al. Age-related risk factors associated with primary contralateral breast cancer among younger women versus older women. Breast Cancer Res Treat. 2019;173(3):657–65. https://doi.org/10.1007/s10549-018-5031-4.

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