:A Study of the Efficacy of Mammographic Screening Using Combinations of MMG, US and Physical Examination
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概要
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We evaluated the role of physical examination in mammographic breast cancer screening.<BR>Methods : In the period from April 1993 to March 2002 (nine years), we detected 65 breast cancer cases by using mammography (MMG), ultrasound (US) and physical examination. We compared the number of breast cancer cases detected using each of the three methods.<BR>Results : The breast cancer detection rates using only MMG, US or physical examination for screening were 87.7% (57/65), 75.4% (49/65) and 55.4% (36/65) respectively. Using a combination of two methods, the detection rates were : MMG+US-98.5% (64/65), MMG+physical examination-95.4% (62/65); and US+physical examination-78.5% (51/65). The incidence of missed breast cancer cases using MMG+US was 1 (1.5%); MMG+physical examination-3 (4.6%); and US+physical examination-14 (21.5%). Adding physical examination to MMG, we detected an additional five breast cancer patients (from 57 to 62 cases).<BR>Conclusion : These results suggest that 12% of breast cancer cases are missed with the use of mammography alone. Therefore, physical examination is a necessary part of mammographic screening. However, physical examination is not required if a combination of mammography and US is used for breast cancer screening.
- 日本乳癌検診学会の論文
日本乳癌検診学会 | 論文
- Characteristics of Patients with Interval Breast Carcinomas.
- Evaluation of Mass Screening for Breast Cancer Conducted under the Health and Medical Service Law for the Elderly and the Actual Conditions of Health Insurance Administration in Zentsuji City.
- Two Cases of Mucinous Carcinoma of the Breast Manifested as Interval Cancer.
- Breast-Conserving Therapy for Breast Cancer Patients Showing Mammographic Evidence of Calcification.
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