乳房検診
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概要
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It is well-known that the breast cancer in Japanese women increases in number recently because of the change of food. The present mortality rate of the breast cancer is 20〜27 to 100,000 persons in Europe and North America, and 6 in Japan. It is said, however, that the actual rate in Japan is 4〜5 times more than that reported as above. Breast is one of the reproductive organs and changes periodically according to the menstrual cycle and lactation. Up to now the breast tumor has been treated by surgeons in Japan. In near future gynecologists should have the deep knowledge of the breast cancer and try to detect it at the early stage. The patients who visit Ob/Gyn clinics are really wanting to be checked up their breasts not by surgeons but by gynecologists according to our survey in Tochigi-prefecture. Gynecologists should do the screening for the breast cancer by the inspection and palpation of breasts as well as utilizing aspiration smear. When the cancer is found the patient should be sent to the specialists of the breast cancer. For the screening family history and the history of delivery should be checked at first as well as history of oophorectomy and the usage of drugs like resorpine. For the inspection the position of the patients should be "Look-stretch-Lift-Press-Bend" position in order to see the changeof the breast configuration, movement, surface and nipples. The palpation should be done after the menstrual period. The "dimpling sign" by the Molding maneuver is useful for the detection of the early stage of the breast cancer. Mammopathy should be roled out carefully. Aspiration smear is most important and safe, The new tool improved me is easy to aspirate. If cancer cells are detected by aspiration smear operations should be done as soon as possible. It is very difficult to diagnose that the tumor in the breast is not malignant. Even the specialists of breast cancers fail to find out the cancer about at 10%. Aspiration smear, should be done even though the tumor is thought to be benign. When the cancer cells can not be found, the patients should be told the necessary of the follow-up examination. Gynecologists in Japan should try to detect the breast cancer at the early stage and to block the increasement of the breast cancer.
- 社団法人日本産科婦人科学会の論文
- 1987-08-01