TITLE

The Demands of Screening Mammography on Surgical Inpatient Services of Breast Cancer

AUTHOR(S)
Paajanen, Hannu; Pulliainen, Lea; Hendolin, Niilo; Hermunen, Heikki; Helle, Markku; Dean, Peter B.
PUB. DATE
July 2001
SOURCE
American Surgeon;Jul2001, Vol. 67 Issue 7, p648
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A nationwide mammographic screening of women ages 50 to 59 years commenced in Finland in January 1987. We studied the demands of screening on surgical inpatient services by comparing the treatment strategy, volume of breast biopsies, and hospital stay before and after implementation of mass screening of women age 50 to 59. Approximately 20 patients per 100,000 inhabitants were referred annually from mass screening for surgical biopsies, in half of which cancer was detected. In 1985 through 1986 (before screening) we operated on 134 patients suspected of having breast cancer. After the first (in 1990) and the second (in 1995) round of mammographic screening we operated on 161 patients in 2 years suspected of having breast cancer. Concurrently 25 of 92 cancers (27%) were found only because of the screening. Before the screening period clinical symptoms and palpable tumors were cause for referral to surgery in 84 per cent of the cases and abnormal mammography in only 16 per cent. During screening these ratios were 34 and 61 per cent, respectively. The number of Tis-1 cancers (<2 cm) increased from 44 per cent before screening to 70 per cent during screening. In contrast the number of T2 cancers (2-4 cm) decreased from 40 to 20 per cent. The mammographic screening did not increase the hospital stay of patients. We conclude that the mammographic screening program of all women age 50 to 59 years increased the number of surgical biopsies in our hospital by only 30 per cent. Breast cancer was found at an earlier stage during screening. More than one-fourth of breast cancers are currently found through the mass screening program in Finland.
ACCESSION #
4789877

 

Related Articles

  • THYROID SHIELD NOT RECOMMENDED.  // ASRT Scanner;Jun/Jul2011, Vol. 43 Issue 5, p12 

    The article details the decision of the American Society of Radiologic Technologists (ASRT) to not recommend the regular use of a thyroid shield during mammograms because it increases the risk of developing thyroid cancer.

  • Women.  // Joe Weider's Muscle & Fitness;Nov93, Vol. 54 Issue 11, p42 

    Features mammography as a means to detect breast cancer. Estimate of women getting breast cancer; Cost of mammography; Advantages of mammography; Performing a mammography; American Cancer Society guidelines in performing a mammography; Difference in benefits for different age groups; Breast...

  • Mammography Screening: Effect of Age and Family History.  // American Family Physician;5/1/1994, Vol. 49 Issue 6, p1502 

    Presents a cross-sectional study by Kerlikowske and colleagues on the examination of the positive predictive value of screening mammography. Inclusion of American women aged 30 and older; Exclusion of mammographic examinations in women with a history of breast cancer, a palpable mass or...

  • False-positive rates for mammograms may be as high as 50%.  // Modern Medicine;Jul98, Vol. 66 Issue 7, p38 

    Presents an abstract of the article `Ten-year Risk of False Positive Screening Mammograms and Clinical Breast Exams,' by J. G. Elmore, M. B. Barton, et al from the `New England Journal of Medicine' dated April 16, 1998.

  • Medicare's mammography benefit underused.  // Patient Care;12/15/1995, Vol. 29 Issue 20, p8 

    Reports that mammography rates among women most likely to die of breast cancer are low. Findings by Health Care Financing Administration (HCFA); Reimbursements from Medicare Part B; Number of mammography claims of women enrolled in Medicare Parts A and B; Other statistics. INSET: Medicare...

  • Mammograms after 40.  // Ebony;Jul1997, Vol. 52 Issue 9, p18H 

    Suggests that women in their 40s should get mammograms annually to detect cancer earlier and save lives. Recommendation of American Cancer Society and the National Cancer Institute; Percentage of women with breast cancer.

  • Four tips for a more comfortable mammogram. Chillot, Rick // Prevention;Mar98, Vol. 50 Issue 3, p28 

    Presents four tips for having a more comfortable mammogram, according to Dr. John Coscia. When to schedule an exam; The suggestion to cut out caffeine; When to take an over-the-counter pain reliever and vitamin E.

  • Stand Tall. ODLE, TERESA // ASRT Scanner;Dec2010/Jan2011, Vol. 43 Issue 2, p27 

    The article presents the stand of radiologist Leonard Berlin and Mary Carrillo, a part time mammographer, on the debate that ensued following the release of the November 2009 recommendation of the U.S. Preventive Services Task Force (USPSTF) on breast cancer screening using mammography.

  • Mammography update. Rosenfeld, Isadore // Vogue;Mar95, Vol. 185 Issue 3, p304 

    Presents news concerning mammography. National Cancer Institute's revision of guidelines; Study reinforcing the wisdom of routine mammograms; Biopsy as a cheaper and less invasive way to distinguish benign from malignant shadows on a mammogram; Safety of scintimammography; Cost.

  • Lucency Clarified. Bondarchuk, Cheryl // ASRT Scanner;Feb/Mar2014, Vol. 46 Issue 3, p6 

    A correction to the article regarding the mediolateraloblique projection of the breast that was published in the October/November 2013 is presented.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics