Reports outline breast disease study results from University of the West Indies.(Clinical report)

In this recent study, researchers in Kingston, Jamaica conducted a study "To describe the clinicopathologic profile of breast disease in Jamaica. The Jamaican Breast Disease Study is an ongoing prospective, multidisciplinary investigation of breast disease at the University Hospital of the West Indies (UHWI)."

"The initial phase was a prevalence survey comprising all consenting patients referred to the Surgical Outpatient Department (SOPD) UHWI, for breast disease. Demographic, clinical, radiologic andpathologic information were recordedfor each patient and the datafor thefirst three years (2000-2002) were analyzed. A total of 1189 patients was enrolledfor the study period (28.8% of all new SOPD patients). The age range was.10 to 93 years (meanISD = 36 5 +/- 16 4 years) with afemale : male ratio of 14:1. Most patients (67.8%) presented with a palpable lump and the clinical diagnosis was benign in the majority (70.4%) ofpatients. Fibroadenonta was the most common benign histologic result (39.4% of all biopsies) followed by non-proliferative (fibrocystic) disease (19.3% of all biopsies). Proliferative disease without atypia, complex fibroadenoma and atypical ductal hyperplasia accountedfor 6.901o, 2.6% and 0.4% of biopsies respectively. Overall, 23.4% of biopsies showed malignant histology (10. 8% patients); invasive ductal carcinoma accountedfor the majority of these cases (69.5%). The majority ofpatients with breast disease in Jamaica are ...