DOI: 10.36347/sjams.2024.v12i04.024

Pages: 458-467

Background: While breast cancer is less common in younger women compared to older age groups, it can still occur, necessitating careful evaluation of imaging findings. Imaging patterns of breast cancer in women of reproductive age can vary, presenting unique challenges in diagnosis and management. This study aimed to assess the imaging patterns of breast cancer in women of reproductive age. Methods: This prospective observational study was conducted in the Department of Radiology and Imaging Uttara Adhunik Medical College & Hospital and Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2019 to December 2023. In this study, 67 women of reproductive age who had been diagnosed with breast carcinoma and had undergone preoperative breast imaging were enrolled purposively. Data analysis was conducted using MS Office tools. Results: Mammographic findings: 42% had heterogeneously dense breasts, 30% scattered composition; and 87% had high mass density. Irregular mass shape: 43% (mammography), 69% (ultrasonography). In total 85% of cases were pleomorphic. Ultrasonography evaluation: 69% had a single US background. Echogenicity distribution: 61% hypoechoic among patients. MRI findings: 37% mild, 31% moderate, 22% minimal. Besides, 87% showed heterogeneous mass enhancement; 63% had segmental non-mass distribution. Conclusion: In breast cancer cases, imaging findings often include masses exhibiting suspicious features such as irregular shape and spiculated margins on mammograms, and irregular shape with angular margins on ultrasound. MRI features commonly involve masses with irregular shapes and heterogeneous enhancement.