RADIATION DIAGNOSTICS IN MAMMOLOGY

Abstract

Breast cancer is the most common cancer in females worldwide, accounting for nearly one-fourth of newly diagnosed cancers in Fergana Valley. Nearly half of women in Fergana valley  develop breast cancer at the age of 50 years versus the age of 65 years . In developing countries, a large number of women are still diagnosed at a later stage in comparison to developed countries where early detection is made through organized screening programs. The number of breast cancer cases in Asia has increased with higher rates in the Eastern region (26.6 out of 100 000 women) compared with other regions. Nearly one-third of women develop breast cancer younger than the age of 50 years. Various studies have highlighted risk factors that could be related to the increase in breast cancer incidence in Central Asia. Screening with mammography for breast cancer detection has already become the standard community practice in many countries. Other imaging modalities that can be helpful diagnostic tools (like ultrasound or magnetic resonance imaging) are not feasible for general screening purposes due to inherent limitations (operator dependency and lack of recognizing microcalcifications with ultrasound, claustrophobia and contrast-related concerns with MRI) and cost (especially with MRI).We aim to highlight various causes of missed screening-detected incident breast cancers (i.e., cancers diagnosed on a second or subsequent screen in women after initial or baseline negative studies), and to emphasize measures that could overcome weaknesses in the chain of events.