Non-lump and non-breast symptoms of breast cancer occur for 1 in 6 women with breast cancer. For those women, patient intervals to a diagnosis of breast cancer were 1.5 times and 2 times longer.
Researchers in the United Kingdom reviewed data from a national UK database to identify presenting symptoms of breast cancer in 2316 women and determine the interval of time that elapsed between initial presentation and a diagnosis of breast cancer. Symptoms were grouped by topography, and subsequently, associations between the 4 most frequent symptom groups and the length of time to diagnosis were examined.
Although a breast lump was the most common symptom (83%) of 56 symptoms identified, non-lump symptoms included nipple abnormalities (7%) and breast pain (6%). Non—breast related symptoms included back pain (1%) and weight loss (0.3%). Women in the “lump only” symptom group had a median patient interval of 7 days to diagnosis. Women in the “non-lump only” or “both lump and non-lump” symptom groups had 1.5 times and 2 times longer patient intervals to a diagnosis of breast cancer.
The researchers concluded that 1 in 6 women with breast cancer in the UK presented with symptoms other than a breast lump, and that a longer time interval to diagnosis occurred when women had less common presenting symptoms. The study abstract is available here.
Nurse Practitioners Weigh in on Data From the San Antonio Breast Cancer Symposium
January 16th 2023Loyda Braithwaite, MSN, RN, AGPCNP-BC, AOCNP; and Jamie Carroll, APRN, CNP, MSN, highlight presentations from the 2022 San Antonio Breast Cancer Symposium that will influence oncology nursing practice.