Comparison of Individual Breast Self-Examination versus Physician Evaluation: The First Report.:Physician Evaluation : The First Report
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概要
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The use of breast self-examination (BSE) is expected to allow women to become more familiar with their own breast architecture and to consult outpatient breast specialists directly when they find a mass, thus increasing the early detection of breast cancer. Many women, however, fail to palpate significant breast masses due to their poor BSE technique. We theorized that the efficacy of breast cancer screening would improve if accurate instruction in, and performance of BSE was added to routine inspection and palpation by a physician. To this end, we proposed a standard for evaluating BSE performance and investigated the performance level necessary for detecting a palpable breast lump. Three hundred thirty-ne asymptomatic women were screened by a physician (Kotsuma, Y.) via visual inspection and palpation during the period from April to September, 1996. Two hundred fifty of the women had previously undergone a screening examination and instruction in BSE ; however only 53% reported practicing BSE. The subjects were asked to evaluate their own BSE technique and then to perform BSE for the doctors, who also rated them. Each assessment was graded from A to D with A best and D worst. Sixty-seven rated themselves A or B, while only 13 were rated this highly by the physicians (13 as B, none as A) Among 47 subjects referred for further examination, 96% received physician grades below C. In order to master the ability to detect a mass by BSE, women should attain a performance level of B or greater as judged by their physician.
- 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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