:Improvement of Inspection/Palpation Techniques and Breast Self-Examination
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概要
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Mass screening for breast cancer using mammography (SMG) together with inspection/palpation (I/P) will likely start in Japan in 2000. Women over 50 years old will be screened every two years. Problems to solve before this plan is implemented include ensuring correct SMG interpretation, use of an adequate I/P technique, and ample municipal funding. The South Osaka Breast Cancer Screening and Diagnosis Research Group distributed a questionnaire before and after the Specialists' Committee of the Ministry of Welfare (May 1999) declared that SMG together with I/P was effective. It was discovered that all areas plan to continue breast cancer screening after 2000 and are interested in adopting SMG, but face financial difficulty in doing so. Another survey in southern Osaka revealed that among women diagnosed as having breast cancer, some cases had been overlooked in the previous year, and 66% had already noticed a breast mass (preferring to consult a doctor rather than being screened), but others were unaware of any mass because of poor BSE technique. Implementation of low-cost mass screening may require cost-sharing with patients or reduction of health insurance reimbursement. I/P abilities should be improved, since architectural distortion, often missed on SMG, can be detected more easily as induration or slight dimpling. Comprehensive breast cancer education, including primary prevention and instruction to improve BSE techniques, are necessary complements to SMG and Group Mass Screening, which we proposed at the last meeting of this Association of 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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