THE QUALITY OF MASS-SCREENING FOR BREAST-CANCER BY PHYSICAL-EXAMINATION

被引：14

作者：

MORIMOTO, T

KOMAKI, K

MORI, T

SASA, M

OOSHIMO, K

MIKI, H

MONDEN, Y

INUI, K

SAOYAMA, N

YOSHIDA, H

机构：

[1] The School of Medical Science, University of Tokushima, Tokushima, 770

[2] The Second Department of Surgery, School of Medicine, University of Tokushima, Tokushima, 770

[3] The Department of Surgery, National Zentsuji Hospital, Zentsuji

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1993年 / 23卷 / 03期

关键词：

BREAST CANCER; MASS SCREENING; PHYSICAL EXAMINATION; SENSITIVITY; SPECIFICITY;

D O I：

10.1007/BF00309228

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Mass screening for breast cancer using physical examination alone has been carried out since 1983 in Zentsuji, Kagawa Prefecture, Japan. Over a 7-year period, breast cancer was detected in 11 of a total 8,271 examinees, the detection rate being high at 0.13%. The detected cases included a few early-staged breast cancers, suggesting that mass screenings are of slight efficacy. Seven cases of interval cancer were found by breast self-examination after the mass screenings, supporting the value of breast self-examination. A relatively large number of interval breast cancers was detected in 1985 and 1986, when the rates of required further examination remained under 1%. The sensitivity and specificity of this screening were 61.1% and 94.5%, respectively, indicating a low sensitivity. These results suggest that the qualitative diagnoses made from the first screening by physical examination alone were often revealed to be false negatives. Therefore, the existing diagnosis should be employed in the first screenings. It is recommended that mammography be introduced to detect breast tumors which are nonpalpable or undetectable by physical examination alone.

引用

页码：200 / 204

页数：5

共 11 条

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