Evaluation of the Results of Services Provided in Breast Cancer Counseling and Screening Clinics in Babol, 2012-2017

Successful treatment of breast cancer (BC) depends on its early detection, which has a significant role in reducing its mortality. The purpose of this study was to evaluate the services provided and the results in women referred to Babol Health Center Breast Cancer Screening Clinic. This cross-sectional study was performed on 1421 individuals. Data were collected using a questionnaire, including demographic information, health history, and screening questions. Initial examinations were performed by midwives at the centers, and suspected or family history cases were referred to counseling centers and then to a physician for mammography. All follow-up was recorded by an expert in the center. The mean age of the subjects was 46.19±8.84 years, and that at first delivery was 21.08±4.38; 93 (6.5%) of them had a history of infertility and 253 (17.8%) had a family history of BC. Of those who did a clinical examination, mammography and ultrasound, 580 (40.9%), 171 (12%), and 441 (31.1%) had BIRADS above two, respectively, and 12 of those who performed biopsy had a positive mass result. Among the other variables studied, history of benign tumor (OR=2.86, P<0.001) and changes in breast skin (OR=2.96, P=0.021) and change in the breast size (OR=2.92, P. value=0.020). ) was observed in predicting effective mammography. In the random forest chart, the history of benign tumors showed 20.34% of mammographic predictions. Breast self-examination with 12.06% and then hormonal drugs with 10.45% were in the second and third ranks. Using two methods of clinical examination and mammography will identify most people in stage 2 who have a good prognosis. Given the proper functioning of the center, it is suggested that more extensive screening should be done to reduce the prevalence and costs of treatment.