بررسي علل مراجعه هزار بيمار به درمانگاه پستان بيمارستان قايم (عج )

Breast cancer has been the most frightening horrible disease among women recently. This study is aimed at an overall view of evaluating reasons for referring of 1000 patients to the Breast Clinic of Ghaem Hospital. Materials and Methods: A descriptive cross-sectional , prospective study was carried on during a two-year period](2001-2003)in Breast—Clinic in Ghaem Hospital.The following information was arranged on a questionnaire including age, the reason for reference, fertility and contraception methods and breast cancer and related cancer background in the patient and the history of this disease among other members of her family. The acquired data was analyzed statistically with T-student, Chi- square and Excel software. Results: The mean — age for these patients was 40 years.The cause of referral in 45.3% of the patients was pain and in 36.8% mass had been observed, 12.7% nipple discharge was noticeable and 15.3% referred for screening breast cancer. Oral contraceptive pill users were 13.2% .The relationship between breast cancer and using contraceptive pills was not noticeable .The duration of pill use was a few months to several years. Vitamin E was more effective in the patients who complained about breast pain. The patients with breast mass who underwent surgery, were classified as 0.7% breast cancer patients. From the patients who had abnormal nipple discharge , the TSH and prolactine levels were 9.6% higher than the normal levels. Among the patients who came for screening , 13% had breast mass. Mammography was prescribed for 45% of these patients that 7.2% of the results were abnormal. Conclusion: The most common cause of patientʹs reference was breast pain.