Results of the radiology monitoring of breasts in women with gynecological malignant tumors

Purpose. There are contradictory data of breast cancer (BC) appearance frequency in women with gynecological malignant tumors (GMT). The purpose of this research is evaluation of BC appearance frequency in women with GMT depending on the time passed after GMT detection, age when GMT were diagnosed, GMT type, definition of examination tactic. Methods and materials. Breast examination results of 2412 women with GMT were analysed (ovarian cancer – 442 patients, cervical carcinoma – 998 patients, endometrial carcinoma – 972 patients. During 5 years following the operation 868 women were being observed (36%), 6-10 years – 699 (29%), 11-15 years – 531 (22%), over 15 years – 314 (13%). Mammography, ductography, pneumocystography and sonography were used. Results. Breast cancer was revealed in 27 (1.1%) women; with ovarian cancer – 10(2.2%), cervical carcinoma – 7(0.7%), endometrial carcinoma – 10 (1.0%). During 5 years following the operation 7 cases (0.8%), 6-10 years – 7(1.0%), 11-15 years – 7(1.3%), over 15 years – 6(1.9%). The frequency of disease for BC at the moment of revealing the GMT before the age of 34 – 0.7%, 35-44 – 1.3%, 45-54 – 0.8%, 55-64 – 1.6%, 65 and older – 0.8%. Conclusion. Frequency of breast cancer appearance in women with gynecological malignant tumors prevails the morbidity of female population at our region by 19 times and has 2 peaks. The highest rate of revealing of breast cancer was observed when gynecological malignant tumors were detected on the age 55 – 64 years. The highest risk of breast cancer appearance belongs to patients with ovarian cancer (2.2%). Taking into account high percent of the breast cancer, diagnosed in women with gynecological malignant tumors, it is necessary to examine the patients carefully before operation. For breast monitoring the following tactic of using radiology methods of diagnostic was recommended annual mammography (if necessary sonography and MRI). (author)