Factors leading to delayed and challenging presentation of benign breast lumps in young females

Saira Saleem; Sundus Tariq; Saba Tariq; Sofia Irfan; Farhan Javed

doi:10.12669/pjms.39.1.6647

Factors leading to delayed and challenging presentation of benign breast lumps in young females

Saira Saleem, Sundus Tariq^*, Saba Tariq, Sofia Irfan, Farhan Javed

^*Corresponding author for this work

Metabolism and Systems Research

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Abstract

Background and Objective: A delayed presentation of benign breast diseases may lead to a therapeutic challenge when they enlarge enormously or become multiple. Aim of this study was to evaluate the factors leading to delayed presentation of benign breast lumps.

Methods: This cross-sectional study was conducted at Madinah Teaching Hospital and Allied Hospital, Faisalabad from January 2019 to October 2021. One hundred and forty five female patients were selected by non-probability purposive sampling. Patients with large size (>5cm) or multiple benign breast lumps were included. An interview was conducted using structured questionnaire translated in Urdu. Factors leading to delayed presentation and social impact scale for stigma were evaluated.

Results: Patients had a mean age of 26.52 ± 6.90 years. The average delay of seeking medical care was 8.48 ± 8.41 months. Factors leading to delayed presentation were; lack of knowledge n=112 (77.2%) and parda (religious issues) n=112 (77.2%), followed by poverty n=109 (75.2%), and fear of cancer n=90 (62.1%). All the sub-scales of stigma, i.e., social rejection, financial insecurity, internalized shame and social isolation were high in late presenters, though, only financial insecurity was significantly high in late presenters (p=0.03).

Conclusion: Lack of awareness, socioeconomic factors and disease related stigma were the main factors related to delayed presentation in young females with benign breast diseases. Addressing these factors may improve timely diagnosis and management of delayed and challenging cases.

Original language	English
Pages (from-to)	80-85
Number of pages	6
Journal	Pakistan Journal of Medical Sciences
Volume	39
Issue number	1
DOIs	https://doi.org/10.12669/pjms.39.1.6647
Publication status	Published - 1 Dec 2022

Bibliographical note

Funding Information:
The authors would like to acknowledge the support we received from Administration of Madinah Teaching Hospital (MTH) and Allied Hospital for assisting in data collection. A special thanks to Prof Dr Irshad Ahmad, Head of Surgery Department MTH for his input on the manuscript.

Publisher Copyright:
© 2023, Professional Medical Publications. All rights reserved.

Keywords

Benign Breast disease
Fibroadenoma
Hypertrophy
Social Isolation
Social Stigma

ASJC Scopus subject areas

General Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

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title = "Factors leading to delayed and challenging presentation of benign breast lumps in young females",

abstract = "Background and Objective: A delayed presentation of benign breast diseases may lead to a therapeutic challenge when they enlarge enormously or become multiple. Aim of this study was to evaluate the factors leading to delayed presentation of benign breast lumps. Methods: This cross-sectional study was conducted at Madinah Teaching Hospital and Allied Hospital, Faisalabad from January 2019 to October 2021. One hundred and forty five female patients were selected by non-probability purposive sampling. Patients with large size (>5cm) or multiple benign breast lumps were included. An interview was conducted using structured questionnaire translated in Urdu. Factors leading to delayed presentation and social impact scale for stigma were evaluated. Results: Patients had a mean age of 26.52 ± 6.90 years. The average delay of seeking medical care was 8.48 ± 8.41 months. Factors leading to delayed presentation were; lack of knowledge n=112 (77.2%) and parda (religious issues) n=112 (77.2%), followed by poverty n=109 (75.2%), and fear of cancer n=90 (62.1%). All the sub-scales of stigma, i.e., social rejection, financial insecurity, internalized shame and social isolation were high in late presenters, though, only financial insecurity was significantly high in late presenters (p=0.03). Conclusion: Lack of awareness, socioeconomic factors and disease related stigma were the main factors related to delayed presentation in young females with benign breast diseases. Addressing these factors may improve timely diagnosis and management of delayed and challenging cases.",

keywords = "Benign Breast disease, Fibroadenoma, Hypertrophy, Social Isolation, Social Stigma",

author = "Saira Saleem and Sundus Tariq and Saba Tariq and Sofia Irfan and Farhan Javed",

note = "Funding Information: The authors would like to acknowledge the support we received from Administration of Madinah Teaching Hospital (MTH) and Allied Hospital for assisting in data collection. A special thanks to Prof Dr Irshad Ahmad, Head of Surgery Department MTH for his input on the manuscript. Publisher Copyright: {\textcopyright} 2023, Professional Medical Publications. All rights reserved.",

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AU - Tariq, Sundus

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AU - Irfan, Sofia

AU - Javed, Farhan

N1 - Funding Information: The authors would like to acknowledge the support we received from Administration of Madinah Teaching Hospital (MTH) and Allied Hospital for assisting in data collection. A special thanks to Prof Dr Irshad Ahmad, Head of Surgery Department MTH for his input on the manuscript. Publisher Copyright: © 2023, Professional Medical Publications. All rights reserved.

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Y1 - 2022/12/1

N2 - Background and Objective: A delayed presentation of benign breast diseases may lead to a therapeutic challenge when they enlarge enormously or become multiple. Aim of this study was to evaluate the factors leading to delayed presentation of benign breast lumps. Methods: This cross-sectional study was conducted at Madinah Teaching Hospital and Allied Hospital, Faisalabad from January 2019 to October 2021. One hundred and forty five female patients were selected by non-probability purposive sampling. Patients with large size (>5cm) or multiple benign breast lumps were included. An interview was conducted using structured questionnaire translated in Urdu. Factors leading to delayed presentation and social impact scale for stigma were evaluated. Results: Patients had a mean age of 26.52 ± 6.90 years. The average delay of seeking medical care was 8.48 ± 8.41 months. Factors leading to delayed presentation were; lack of knowledge n=112 (77.2%) and parda (religious issues) n=112 (77.2%), followed by poverty n=109 (75.2%), and fear of cancer n=90 (62.1%). All the sub-scales of stigma, i.e., social rejection, financial insecurity, internalized shame and social isolation were high in late presenters, though, only financial insecurity was significantly high in late presenters (p=0.03). Conclusion: Lack of awareness, socioeconomic factors and disease related stigma were the main factors related to delayed presentation in young females with benign breast diseases. Addressing these factors may improve timely diagnosis and management of delayed and challenging cases.

AB - Background and Objective: A delayed presentation of benign breast diseases may lead to a therapeutic challenge when they enlarge enormously or become multiple. Aim of this study was to evaluate the factors leading to delayed presentation of benign breast lumps. Methods: This cross-sectional study was conducted at Madinah Teaching Hospital and Allied Hospital, Faisalabad from January 2019 to October 2021. One hundred and forty five female patients were selected by non-probability purposive sampling. Patients with large size (>5cm) or multiple benign breast lumps were included. An interview was conducted using structured questionnaire translated in Urdu. Factors leading to delayed presentation and social impact scale for stigma were evaluated. Results: Patients had a mean age of 26.52 ± 6.90 years. The average delay of seeking medical care was 8.48 ± 8.41 months. Factors leading to delayed presentation were; lack of knowledge n=112 (77.2%) and parda (religious issues) n=112 (77.2%), followed by poverty n=109 (75.2%), and fear of cancer n=90 (62.1%). All the sub-scales of stigma, i.e., social rejection, financial insecurity, internalized shame and social isolation were high in late presenters, though, only financial insecurity was significantly high in late presenters (p=0.03). Conclusion: Lack of awareness, socioeconomic factors and disease related stigma were the main factors related to delayed presentation in young females with benign breast diseases. Addressing these factors may improve timely diagnosis and management of delayed and challenging cases.

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VL - 39

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ER -

Factors leading to delayed and challenging presentation of benign breast lumps in young females

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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