The epidemiological and clinicopathological features of breast cancer in Riyadh, Saudi Arabia

The epidemiological and clinicopathological features of breast cancer in Riyadh, Saudi Arabia

To investigate the epidemiological and clinicopathological features of breast cancer (BC) in Saudi Arabia to improve decisions regarding resource allocation, disease control, and management. We retrieved the records of all patients who presented with histologically proven BC at King Fahad Medical Ci...

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Bibliographic Details
Published in:Saudi medical journal Vol. 45; no. 3; pp. 288 - 294
Main Authors: Omer, Ahmad Aa, Bin Dayel, Salman A, Hummedi, Ali Sa, Almuhaimed, Noura Ia
Format: Journal Article
Language:English
Published: Saudi Arabia Saudi Medical Journal 01-03-2024
Subjects:
Biopsy
Breast cancer
Breast Neoplasms - epidemiology
Breast Neoplasms - therapy
Care and treatment
Demographic aspects
Diagnosis
Family
Female
Humans
Mastectomy
Middle Aged
Original
Saudi Arabia - epidemiology
Saudi Arabia
Saudi Arabia
epidemiology
Breast cancer
clinico-pathologic
Riyadh
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Summary:To investigate the epidemiological and clinicopathological features of breast cancer (BC) in Saudi Arabia to improve decisions regarding resource allocation, disease control, and management. We retrieved the records of all patients who presented with histologically proven BC at King Fahad Medical City between 2019 and 2020. The data were analyzed quantitatively, and the results were expressed as percentages and frequencies. This study comprised 419 patients. The mean age was 50.13 (± 10.96) years. The majority of the patients were obese (56.6%), and approximately a quarter had a history of oral contraceptive pill use, breast biopsy, or an affected family member. Most cases were from the central region (80.1%), followed by the southern provinces (12.7%). Breast lumps were the most common complaint (89%), whereas hypertension and diabetes mellitus were the most common comorbidities. Invasive ductal carcinoma was the most common pathologic type (89.7%). Most patients presented with TNM stages II and III (55.2%), and 27.7% had metastasis. The main therapeutic modalities included radical mastectomy (63.8%), neoadjuvant chemotherapy (60.4%), and adjuvant radiotherapy (82.9%). In Saudi Arabia, a trend of BC incidence migration towards older patients may be ensuing. However, prediction of an advanced and aggressive presentation requires the enhancement of screening programs and standardized protocols for disease management.
ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2024.45.3.20230656