Nurse’s Role in Early Detection of Breast Cancer through Mammography and Genetic Screening and Its Impact on Patient's Outcome

Authors: Salwa Hagag Abdelaziz, Dorria Salem, Hoda Zaki, Suzan Atteya

Abstract:

Early detection of breast cancer saves many thousands of lives each year via application of mammography and genetic screening and many more lives could be saved if nurses are involved in breast care screening practices. So, the aim of the study was to identify nurse's role in early detection of breast cancer through mammography and genetic screening and its impact on patient's outcome. In order to achieve this aim, 400 women above 40 years, asymptomatic were recruited for mammography and genetic screening. In addition, 50 nurses and 6 technologists were involved in the study. A descriptive analytical design was used. Five tools were utilized: sociodemographic, mammographic examination and risk factors, women's before, during and after mammography, items relaying to technologists, and items related to nurses were also obtained. The study finding revealed that 3% of women detected for malignancy and 7.25% for fibroadenoma. Statistically significant differences were found between mammography results and age, family history, genetic screening, exposure to smoke, and using contraceptive pills. Nurses have insufficient knowledge about screening tests. Based on these findings the present study recommended involvement of nurses in breast care which is very important to in force population about screening practices.

Keywords: Early detection, Genetic Screening, Mammography.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1099386

References:

[1] American Cancer Society(ACS), Located in http://www.imaginis.com/ Breasthealth/bc_risks.asp, 2006.
[2] G.P. Gui, R.K. Hogben, G. A. Walsh, R. Hern, and R. Eeles, The incidence of breast cancer from screening women according to predicted family history risk: Does annual clinical examination add to mammography, Eur J Cancer, vol. 37,no.3, p.1668. 2001
[3] B. Bagni, A. Franceschetto, & A. Casolo, Scintimammography with 99mTc-MIBI and magnetic resonance imaging in the evaluation of breast cancer, European Journal Nuclear Medicine Mol Imaging,vol.30, ,2003,pp.1383 – 1388
[4] L.Esserman, D. Wolverton, & N. Hylton, Magnetic resonance imaging for primary breast cancer management: Current role and new applications, Endocrine Related Cancer, vol.9, pp. 141-153. 2002.
[5] C. Yarbro, International nursing and breast cancer.,Breast Journal, vol.9, no.13, p. 34. 2003.
[6] U. Bick, An integrated early detection concept in women with a genetic predisposition for breast cancer. Radiology, August, vol.37, no.8 , 1997.
[7] P. Rubin, & J. William, Clinical oncology A Multidisciplinary approach for physcians and students , 8th ed. Philadelphia: W.B, 2001.
[8] D. Sutton, P.A. Robinson, J.P.Jenkins, E.R. Davies, J. Murfitt, & R.L William, The breast: Textbook of radiology and imaging 7th ed. London: Churchill Livingstone. 2003.
[9] L.W. Bassett, & C.H. Kim, Breast imaging: Mammography and sonography, MRI Clinic NANM,vol. 9, 2001,pp.251 – 271.
[10] W.H. Vogel, The advanced practice nursing role in a high-risk. Breast Cancer Clinical, vol.30 no.1, p115. 2003.
[11] A. Ganuly, K. Leady, A.Marshall, R.Dhulipal , L.Godmilow, & J. Ganauly Genetic testing for breast cancer susceptibility: Frequency of BRCA-1 and BRCA-2 mutations, Genetic testing vol.1,no.2,pp.85- 90.1997.
[12] N. Loman, G. Johannson, U. Kristoffersson, & H. Ollsson, Family history of breast and ovarian cancers. Journal of NCI, vol. 16, no.15, 1215 – 1223, 2001.
[13] S. Leslie, P.Deriggi, S. Gross, E.Durant, C. Smith, & J. Veshnesky Knowledge, attitudes & practice surrounding breast cancer screening in educated Appalachian women. Oncology Nursing Forum, vol.30,no. 4, p. 33, 2003.
[14] N. Leslie, Role of the nurse practitioner in breast and cervical cancer prevention. Cancer Nursing, vol.18,no.4,p. 2511, Aug. 1995.
[15] N. Bjurstam, National screening programme in Sweden. Sixth Europa Donna pan-European Conference, vol. 8, no. 9, pp.7-8 Nov. 2003.
[16] H. Geweifel, Breast imaging reporting and data system (BI-RADs), five years experience in Cairo. Published thesis. Cairo University, Egypt, 2004.
[17] S.Sanjose, M. Leone, V. Berez, A. Izquierdo, R. Font, J. Brunet, T. Louant, L.Vilardell, J.Borras, P.Viladiu, F.Bosch, G.Lenoir, & O. Sinilnikova, Prevalence of BRCA 1 and BRCA 2 germline mutations in young breast cancer patients: A population based study, Int. Journal Cancer, vol.106,no.4,pp. 588 – 93,2003.
[18] J.K. Itano, & K.N. Taoka, Core curriculum for oncology nursing, 3rd ed. USA: W.B. Saunders, 1998.
[19] S.Omar, G. Contesso, & H.Khaled, Epidemiology of breast cancer, Breast Cancer, vol. 4, no. 1,pp. 1-8,2001.
[20] S.L. Rubbin, V. Kumar, R.S. Cortan ,The female genital system and breast: Rubbins basic pathology,7th ed., Philadelphia, London W.B. Saunders, Company, 2003.
[21] G.H. Wood, & J.H.Harber, Nursing research: methods, critical appraisal, and utilization, 5th ed. St. Louis: Mosby, 2002.
[22] A. Linton, & N. Maelius, Introduction to medical surgical nursing 3rd ed., Philadelphia: Saunders Company, 2003.
[23] H.James, M.Sharon, S. Slender, D. Smith, P. Stewart, & W. Paula, Balck women's perception of breast cancer and mammography. Journal of Community Health, vol.17 no.4, pp.191 – 203, 1992.
[24] S.M. Lewis, I.C. Collier, & M.M. Heitkemper, Medical Surgical nursing: Assessment and management of clinical problems, 4th ed. St.Louis, Mosby company,1996.
[25] P. Hopwood, Western lifestyle and breast cancer risk. 4th European breast cancer conference, European Breast Cancer Coalition, 2004.
[26] R. Sattin, G. Rubin, & L. Webster, Family history and risk of cancer breast. JAMA, vol.253, pp.1908 – 1913,1985.
[27] O. Meirik, E.Lund, & H. Adami, Oral Contraceptive use and breast cancer in young women. Lancet, vol.2, pp.650 – 653,1986.
[28] H.C. Wilcox, Breast Cancer and gene testing: Risk, rationale and responsibilities of primary care providers. Breast Cancer Center, Mercy Medical Center, Baltimore, Maryland 21202, USA ,Pubmed indexed for Medline, 1998.
[29] S. Hayley, B. Thompson, B.Heiddis, C. Buck, J. Guevarra, D. Bovbjerg, C. Avellaneda, K. Brown, & K. Offit, Psychosocial predictors of BRCA counseling and testing decision among urban African American women. Cancer Epidemiology Biomarkers and Prevention, vol.11 no.2, pp.1579- 1585, 2002.
[30] S. Sanjose, M.Leone, V. Berez, A. Izquierdo, R. Font, J. Brunet, T. Louant, L. Vilardell, J. Borras, P. Viladiu, F.Bosch, G. Lenoir, & O.Sinilnikova, Prevalence of BRCA 1 and BRCA 2 germline mutations in young breast cancer patients: A population based study. Int. Journal Cancer,vol. 106,no.4,pp. 588 – 93. 2003.
[31] G.B. Mann, and P.I. Borgen, Breast cancer genes and the surgeon. Journal Surg. Oncol, vol.67no.4, pp. 267 – 74,1998.
[32] K.J. Walker, J. M. Price-Thomas, & W. Candlish, Influence of Antiestrogen tamoxifen on normal breast tissue. Breast Journal Cancer, vol.64, pp.764 – 768,1991.
[33] E.L. Rosen, & M.S. Soo, Tissue harmonic imaging sonography of breast lesion: Improved margin analysis, conspicuity, and image quality compared to conventional ultrasound, Clinical Imaging, vol.25,no. 6, p.379,2001.
[34] B. Fisher, J.P. Constantino, & D.L. Wickerham, Tamoxifen for prevention of breast cancer. Report of the National Surgical Adjuvant Breast and Bowel Project. Journal of National Cancer Institute, vol.90, no.18, pp. 1371 – 1388,1998.
[35] W.D. DuPont, & D.L. Page, Risk factors for breast cancer in women with proliferative breast disease. National English Journal of Medicine, vol.312, pp. 146 – 151, 1985.
[36] W.H. Vogel, The advanced practice nursing role in a high-risk, Breast Cancer Clinical, vol.30 no.1, p. 115, 2003.
[37] A. Glaus, Prevention and risk factors: interpreting new data Sixth Europa Donna pan Europea Conference, vol.8, no.9, pp.16-17, Nov.2003.
[38] European Code Against Cancer, Lcated in http://.imaginis. com/breasthealth/earlydetection.asp ,2003.
[39] S.L. Dibble, & S.A. Roberts, Improving cancer screening among Lesbians over 50: Results of a pilot study. Oncology Nursing Forum,vol. 30 ,no.4,p. 71,2003.
[40] B.C. Anthony, Overcoming obstacles in implementing breast services locally. 6th European Donna Conference, 2003.
[41] European Breast Cancer Coalition, Located in http://gateway 1,ovid.com/ovidweb.cgi., 2003.
[42] D.Rainsbury, Specialist breast units in the UK, Sixth Europa Donna Conference. European Breast Cancer Advocacy. Utility for Standard Equality for All,2003.