Graziella Di Grezia, Teresa Iannnaccone, Gianluca Gatta
{"title":"Optimizing Breast Imaging: Needs and Opportunities for Refugee Women in Italy and Low-Income Countries.","authors":"Graziella Di Grezia, Teresa Iannnaccone, Gianluca Gatta","doi":"10.4274/ejbh.2025.2025-3-1","DOIUrl":"10.4274/ejbh.2025.2025-3-1","url":null,"abstract":"","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":"281-282"},"PeriodicalIF":1.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Berkay Yalçınkaya, Ahmet Furkan Çolak, Sercan Aksoy, Murat Kara, Levent Özçakar
{"title":"Aromatase Inhibitor-Related Lower Limb Tendinopathies: Ultrasound is on the Agenda.","authors":"Berkay Yalçınkaya, Ahmet Furkan Çolak, Sercan Aksoy, Murat Kara, Levent Özçakar","doi":"10.4274/ejbh.galenos.2025.2024-12-7","DOIUrl":"10.4274/ejbh.galenos.2025.2024-12-7","url":null,"abstract":"","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":"283-284"},"PeriodicalIF":1.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Artem Mishin, Alla Kartasheva, Viktor Okhotin, Igor Ganshin
{"title":"Techniques for Retaining the Inframammary Fold in Implant-Based Reconstructive Breast Surgery.","authors":"Artem Mishin, Alla Kartasheva, Viktor Okhotin, Igor Ganshin","doi":"10.4274/ejbh.galenos.2025.2025-2-1","DOIUrl":"10.4274/ejbh.galenos.2025.2025-2-1","url":null,"abstract":"<p><p>Both reconstructive and aesthetic implant-based breast surgery are associated with the risk of damage or destruction of the inframammary fold (IMF). Such surgical complications lead to implant disposition and disruption of the natural shape of the breast. Various techniques are used to restore the IMF or prevent its damage, such as tissue rearrangement, sutures, capsular flaps, the use of biological matrices or synthetic meshes. In this review, all current methods of retaining the IMF and the frequency of complications reported over the past ten years are reviewed.</p>","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":"190-199"},"PeriodicalIF":1.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bayesian Model Prediction for Breast Cancer Survival: A Retrospective Analysis.","authors":"Islam Bani Mohammad, Muayyad M Ahmad","doi":"10.4274/ejbh.galenos.2025.2025-2-14","DOIUrl":"10.4274/ejbh.galenos.2025.2025-2-14","url":null,"abstract":"<p><strong>Objective: </strong>Over the recent years, machine learning (ML) models have been increasingly used in predicting breast cancer survival because of improvements in ML algorithms. However, cancer researchers still face a significant challenge in accurately predicting breast cancer patients' survival rates. The purpose was to predict breast cancer survival using a Bayesian network.</p><p><strong>Materials and methods: </strong>This retrospective study included 2,995 patients diagnosed with breast cancer and subsequently hospitalized between January 1, 2012, and December 30, 2024. SPSS Modeler version 18.0 was used to build prediction models. The data were randomly split into a training set (2,097 cases, 70%) and a test set (898 cases, 30%) for developing the Bayesian network model and predicting the overall survival of patients diagnosed with breast cancer. The model included demographic variables (age, marital status, and governorate), laboratory/clinical variables (hemoglobin level, white blood cell count, presence of hypertension, and diabetes mellitus) and the outcome variable, patient survival status (binary value: survived/died). The discriminative ability of models was evaluated by accuracy and the area under the curve (AUC) in terms of superior predictive performance for breast cancer outcomes.</p><p><strong>Results: </strong>The Bayesian model exhibited the best discriminatory performance among the nine models, with an AUC of 0.859 and the highest accuracy of 96.661%. In the context of feature importance, white blood cell value at the time of diagnosis was the most important feature for predicting the survival of breast cancer. Patients who had below-normal hemoglobin and above-normal white blood count values had a higher death probability than patients who had normal white blood count and hemoglobin values. The presence of hypertension and diabetes mellitus in patients with breast cancer led to a reduced survival probability.</p><p><strong>Conclusion: </strong>The Bayesian model outperformed the other models in predicting the survival probability of breast cancer. Routine laboratory testing and demographic data can be included in a ML model to predict breast cancer survival. Accurate prediction of breast cancer survival is vital for clinical decision-making.</p>","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":"255-264"},"PeriodicalIF":1.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sathasivam Pravanan, Lakindu Grero, Widuranga Wijerathna, Kasun Ranaweera, Jeewantha Senavirathna, S H Rukman Sanjeewa, Kanchana Wijesinghe
{"title":"Bilateral Gestational Gigantomastia Complicating Pregnancy: A Challenging Case Refractory to Conservative Management.","authors":"Sathasivam Pravanan, Lakindu Grero, Widuranga Wijerathna, Kasun Ranaweera, Jeewantha Senavirathna, S H Rukman Sanjeewa, Kanchana Wijesinghe","doi":"10.4274/ejbh.galenos.2025.2025-4-4","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2025.2025-4-4","url":null,"abstract":"<p><p>Gestational gigantomastia (GG) is a rare condition characterized by excessive and rapid breast enlargement during pregnancy, resulting in significant physical discomfort, functional limitations, and significant psychological impact. We present a case of a 33-year-old multiparous woman in her third pregnancy, who developed severe bilateral GG by 16 weeks of gestation. Despite initial conservative management, including analgesia and pharmacological (bromocriptine) therapy, the condition worsened causing functional impairment and recurrent mastitis requiring repeated hospital admissions. The pregnancy was electively induced due to physical limitations at 35 weeks of gestation; however, the labour was complicated by obstruction, necessitating an emergency Cesarean section. Postpartum the patient developed severe lactational mastitis complicated by sepsis necessitating intensive care unit admission. After recovery and cessation of breastfeeding, she elected to undergo Wise-pattern bilateral reduction mammoplasty with free nipple-areolar complex grafting four months into her postpartum period. The procedure provided substantial functional relief and a favorable esthetic outcome. This case highlights the potential complexity of managing GG and the need for individualized care. Although conservative treatments may offer temporary relief, surgical intervention is often necessary in severe cases.</p>","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aromatase Inhibitor-Related Alveolar Hemorrhage or ANCA-Associated Vasculitis?","authors":"Raikan Büyükavcı","doi":"10.4274/ejbh.galenos.2025.2025-4-6","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2025.2025-4-6","url":null,"abstract":"","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breast Angiosarcoma: Four Case Series and Literature Review.","authors":"Imen Bannour, Salma Ferjani, Hafedh Abbassi, Ekram Guerbej, Dorra Chiba, Sassi Boughizane, Badra Bannour","doi":"10.4274/ejbh.galenos.2025.2025-2-6","DOIUrl":"https://doi.org/10.4274/ejbh.galenos.2025.2025-2-6","url":null,"abstract":"<p><p>The mammary angiosarcoma is a rare malignant mesenchymal tumor that develops from the vascular tissue of the breast. It represents 0.004 to 1% of all malignant breast tumors and 8 to 10% of breast sarcomas. It can be primary in a 40-year-old woman or radiation-induced in an older woman who has undergone conservative treatment for breast cancer, including conservative surgery and adjuvant radiotherapy. Herein, we present four cases involving breast angiosarcoma in young and relatively older women and the different treatment they received. Our discussion encompasses the epidemiological, diagnostic, and therapeutic facets of this rare and aggressive tumor type.</p>","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Isolated Hydatid Cyst of the Breast: A Rare Pseudotumor of the Breast.","authors":"Badra Bannour, Mariem Romdhani, Dorra Chiba, Imen Bannour, Atef Ben Abdelkader, Moncef Mokni, Sassi Boughizane","doi":"10.4274/ejbh.galenos.2025.2024-12-10","DOIUrl":"10.4274/ejbh.galenos.2025.2024-12-10","url":null,"abstract":"<p><p>Although rare, a hydatid cyst of the breast represents a mammary pseudotumor. We present the case of a 49-year-old woman with no significant medical history, who was diagnosed with an isolated hydatid cyst of the breast confirmed by histopathological examination. This patient consulted for breast asymmetry and a feeling of heaviness in the left breast, with no clinical signs of systemic hydatidosis. The diagnosis was suggested by echo-mammography and confirmed postoperatively by histopathological examination. Although rarely reported, primary hydatid cyst of the breast can cause symptoms that mimic neoplasia. Surgical excision alone proved effective in treating this type of breast cyst.</p>","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":"182-185"},"PeriodicalIF":1.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nazreen Kara, Dominic da Costa, Ella Dougherty, Amina Mahomed, Cassandra Mbanje, Carol-Ann Benn, Dominic van Loggerenberg
{"title":"Differences in Age, Stage and Biology of Breast Cancer Presentations at A Private Breast Unit in Johannesburg Before and During The COVID-19 Pandemic.","authors":"Nazreen Kara, Dominic da Costa, Ella Dougherty, Amina Mahomed, Cassandra Mbanje, Carol-Ann Benn, Dominic van Loggerenberg","doi":"10.4274/ejbh.galenos.2025.2024-12-2","DOIUrl":"10.4274/ejbh.galenos.2025.2024-12-2","url":null,"abstract":"<p><strong>Objective: </strong>Prior to the 2020 Coronavirus disease 2019 (COVID-19) pandemic, breast cancer (BC) was already a major healthcare concern globally, including in South Africa (SA). The pandemic forced adjustments in BC management and may have also impacted BC presentation characteristics due to social behavior changes. The aim of this study was to describe BC presentations before and during the COVID-19 pandemic at a single facility in SA.</p><p><strong>Materials and methods: </strong>A retrospective record review was conducted to compare BC presentations before and during the COVID-19 pandemic. The \"before\" period spanned 11 January 2019 to 31 March 2020 and the \"during\" period spanned 1 April 2020 to 20 December 2021. The variables analysed included patient age, BC stage at presentation, and tumor biology.</p><p><strong>Results: </strong>A total of 731 patients were seen in the \"before\" period, and 636 in the \"during\" period. While there was a significant (<i>p</i><0.0001) decrease in the mean number of patients who presented to the unit per month during the pandemic, no significant differences were observed in age, BC stage at presentation, or tumor biology between the two study periods.</p><p><strong>Conclusion: </strong>Despite a significant reduction in new BC cases during the COVID-19 pandemic in SA, patient age, BC stage, and tumor biology remained unchanged. The rapid implementation of digital tools for healthcare management is likely to have played an important role in maintaining patient access to care.</p>","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":"132-136"},"PeriodicalIF":1.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fadoua El Battioui, Abdelouahid Louazi, Noura Boukil, Zohra Ben Allal, Rajae Alloudane, Said Barrijal
{"title":"Quality of Life and Age-Related Predictor Symptoms in Breast Cancer Survivors Undergoing Hormone Therapy: A Study from the Northern Region of Morocco.","authors":"Fadoua El Battioui, Abdelouahid Louazi, Noura Boukil, Zohra Ben Allal, Rajae Alloudane, Said Barrijal","doi":"10.4274/ejbh.galenos.2025.2024-5-4","DOIUrl":"10.4274/ejbh.galenos.2025.2024-5-4","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to assess the health-related quality of life (HRQoL) of breast cancer (BC) survivors during adjuvant hormone therapy (AHT) as a function of age and to identify predictor symptoms.</p><p><strong>Materials and methods: </strong>The study was based on a cross-sectional survey of 216 BC survivors undergoing AHT, in the Northern Region of Morocco. HRQoL was assessed using a validated HRQoL questionnaire, the Functional Assessment of Cancer Treatment (FACT-ES). Multiple linear regression analysis was used to identify predictor symptoms for the subscales of the FACT-ES.</p><p><strong>Results: </strong>Younger women (<45 years) had lower scores on the emotional well-being subscale (<i>p</i> = 0.021). Irritability (b: -0.786; p = 0.001) and mood swings (b: -0.835; <i>p</i> = 0.031) were the strongest negative predictors of emotional quality of life. In both age groups, items related to social support had a positive effect on survivors' social HRQoL (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>BC survivors' HRQoL during AHT differed by age group. Emotional problems negatively influenced HRQoL in younger women. Knowledge of the symptoms that predict HRQoL in BC survivors may help clinicians develop personalized interventions.</p>","PeriodicalId":93996,"journal":{"name":"European journal of breast health","volume":" ","pages":"115-121"},"PeriodicalIF":1.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143443052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}