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Research ArticleOriginal Article
Open Access

Dense breast tissue in screened postmenopausal women

Prevalence and determinants

Ibrahem H. Kanbayti
Saudi Medical Journal November 2024, 45 (11) 1238-1244; DOI: https://doi.org/10.15537/smj.2024.45.11.20240571
Ibrahem H. Kanbayti
From the Department of Radiologic Sciences, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
MSc, PhD
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    - Flowchart outlining the eligibility requirements for study participants.

  • Figure 2
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    Figure 2

    - The Breast Imaging Reporting and Data System (BI-RADS 4th edition scheme).

  • Figure 3
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    Figure 3

    - Breast density distribution (dense and non-dense breast tissue groups).

Tables

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    Table 1

    - Population characteristics.

    Characteristicsn (%)
    Nationality
    Saudi280 (68.5)
    Non-Saudi129 (31.5)
    Age at screening
    ≤49 years17 (4.1)
    50-54 years190 (46.3)
    55-59 years114 (27.8)
    ≥60 years89 (21.7)
    Age at first pregnancy
    ≤21 years194 (51.6)
    >21 years182 (48.4)
    Age at menarche
    <12 years62 (15.8)
    12-14 years256 (65.3)
    >14 years74 (18.9)
    Age at menopause
    <45 years40 (14.3)
    ≥45 years240 (85.7)
    Number of children
    ≤4175 (46.5)
    5-7167 (44.4)
    ≥834 (9.0)
    Breastfeeding
    No52 (12.7)
    Yes357 (87.3)
    Hormonal replacement therapy
    No320 (79.0)
    Yes85 (21.0)
    Family history of BC
    No327 (80.5)
    Yes79 (19.5)
    Body mass index
    Underweight2 (0.6)
    Normal weight43 (12.6)
    Obese182 (53.5)
    Overweight113 (33.2)
    Parity
    No33 (8.1)
    Yes376 (91.9)
    Age (years), mean±SD55.71±5.72
    Age at first pregnancy (years), mean±SD21.8±4.94
    Age at menarche (years), mean±SD12.9±1.74
    Age at menopause (years), mean±SD49.07±5.04
    Body mass index (kg/m2), mean±SD31.11±12.04

    Values are presented as numbers and percentages (%) or mean ± standard deviation (SD).

    BC: breast cancer

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      Table 2

      - Differences in population characteristics by mammographic density status.

      Population featuresDense breast tissueNon-dense breast tissueP-values
      Nationality
      Saudi28 (54.9)252 (70.4)0.02
      Non-Saudi23 (45.1)106 (29.6)
      Age
      ≤49 years3 (5.8)14 (3.9)0.15
      50-54 years31 (59.6)159 (44.4)
      55-59 years10 (19.2)104 (29.0)
      ≥60 years8 (15.4)81 (22.6)
      Age at first pregnancy
      ≤21 years20 (47.6)174 (52.1)0.58
      >21 years22 (52.3)160 (47.9)
      Age at menarche
      <12 years7 (14.0)55 (16.1)0.9
      12-14 years33 (66.0)223 (65.2)
      >14 years10 (20.0)64 (18.7)
      Age at menopause
      <45 years7 (25.0)33 (13.1)0.08
      ≥45 years21 (75.0)219 (86.9)
      Parity
      No11 (21.1)22 (6.2)<0.001
      Yes41 (78.8)335 (93.8)
      Number of children
      ≤427 (65.8)148 (44.2)0.03
      5-711 (26.8)156 (46.5)
      ≥83 (7.31)31 (9.2)
      Breastfeeding
      No13 (25.0)39 (10.9)0.004
      Yes39 (75.0)318 (89.1)
      Hormonal replacement therapy
      No40 (76.9)280 (79.3)0.6
      Yes12 (23.1)73 (20.7)
      Family history of BC
      No41 (78.8)286 (80.7)0.7
      Yes11 (21.1)68 (19.2)
      Body mass index
      Normal weight11 (25.5)32 (10.8)0.03
      Obese17 (39.5)165 (55.5)
      Overweight15 (34.8)98 (32.9)
      Underweight0 (0.0)2 (0.6)

      Values are presented as numbers and percentages (%).

      BC: breast cancer

        • View popup
        Table 3

        - Predictors of dense breast tissue among postmenopausal women.

        Population featuresDense breast tissue
        OR95% CIP-values
        Nationality
        SaudiReferenceReference0.02
        Non-Saudi1.951.07-3.54
        Breastfeeding
        YesReferenceReference0.006
        No2.711.33-5.53
        Parity
        YesReferenceReference<0.001
        No4.081.84-9.03
        Body mass index
        OverweightReferenceReference 
        Obese0.670.32-1.400.29
        Normal weight2.240.93-5.380.07
        Number of children
        5-7ReferenceReference 
        ≤42.581.23-5.400.01
        ≥81.370.36-5.200.64

        OR: odds ratio, CI: confidence interval

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        1 Nov 2024
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        Dense breast tissue in screened postmenopausal women
        Ibrahem H. Kanbayti
        Saudi Medical Journal Nov 2024, 45 (11) 1238-1244; DOI: 10.15537/smj.2024.45.11.20240571

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        Dense breast tissue in screened postmenopausal women
        Ibrahem H. Kanbayti
        Saudi Medical Journal Nov 2024, 45 (11) 1238-1244; DOI: 10.15537/smj.2024.45.11.20240571
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        Keywords

        • postmenopausal women
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        • reproductive factors

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