Mammographic screening and diagnostic difficulties of breast diseases at Yalgado Ouedraogo teaching hospital (Chu-Yo) of Ouagadougou

Abstract

The aim of our study was to evaluate difficulties related to mammographic diagnosis of breast diseases at
Yalgado ouedraogo Teaching hospital of ouagadougou (Chu-Yo). This was a descriptive cross-sectional
study conducted from january 1st, 2007 to june 30th, 2010, enrolling 213 folders of patients who had consulted
for a breast condition. we identified 213 patients whose medical folders were found, 95.4% were female
and 4.6% male with a sex ratio of 0.05. Mean age of patients was 41.5 years and the age group 43-52 years
was the most represented. Mammography could only be performed by 44 patients (20.66%) mainly due to
expensive cost of the exam for the majority poor populations as well as limited availability of this imaging
modality and its low request. Mammogram reports were available for 27 patients (61.3%). anomalies
were detected in 73.1% of these patients, much more in women (95%) than in men (5%). Benign lesions
were confined in 13 to 22 age group (68%) and those suspected for malignancy to older patients aged between
43 and 52 (91%). Main mammographic findings were opacities (46.1%) and microcalcifications associated
with opacities (11.5%). There was a predominance of BiRadS 2 lesions (22.2%). Mammography
is the first-line imaging modality in breast diseases screening but it is relatively under-used in our context.