In: NEOPLASMA, vol. 53, no. 3
K. Hertl - M. Primic-Žakelj - J. Žgajnar - I. Kocijančič
Detaily:
Rok, strany: 2006, 237 - 241
O článku:
The purpose of the study was to assess performance indicators of
opportunistic breast screening carried out in one of the
Primary Breast Diseases Centers (PBDC) and to find out if these
indicators meet the standards set in "European guidelines
for quality assurance in mammographic screening".
The records of 1,896 asymptomatic women, aged between 50 and 69
years who attended PBDC for the first time in the
period from October 15 1998 to October 15 2002, were reviewed. In
all of them, clinical examination and mammography
was done. If necessary, non-invasive additional imaging was also
performed in the PBDC. If malignancy could not be excluded,
the women were referred to the Institute of Oncology (IO) for
additional invasive diagnostic procedures. The data on
these findings were collected from the records of the IO. We
compared our results with the recommended values of performance
indicators valid for organized screening programs as determined
by "European guidelines".
Of 1,896 women, 415 (22%) were recalled for additional imaging. In
335/415 women the suspicion for malignancy was
excluded with noninvasive diagnostic methods. Invasive diagnostic
procedures were applied in 80/415 women. Carcinomas
were detected in 23 women, the majority of them (96%) were non
palpable. All carcinomas were ductal; 9 (39%), 7 (30.5%),
7 (30.5%) were grade 1, 2 and 3, respectively. One carcinoma was
preinvasive; 20 had the tumor size T1, 1 had T2, while in
one the size was not specified. The axillary lymph nodes were
negative in 14/23 (61%) women with invasive carcinoma and
positive in 5/23 (22%). Surgery of the axilla was considered
unnecessary in 4/23 (17%). Diagnostic sensitivity in presented
cohort was 96%, specificity 79%. After a negative mammogram 1
interval cancer was detected. Compared to the "European
guidelines" we achieved satisfactory results in the number and
size of detected and interval cancers, but the analysis showed
a higher recall rate with too many false-positive results. Efforts
should target lowering the recall rate without reducing the
cancer detection rate. Compared to Slovenian average, a large
percentage of localized breast cancers in our study claim for
organized breast cancer screening program in Slovenia at earliest
convenience.
Ako citovať:
ISO 690:
Hertl, K., Primic-Žakelj, M., Žgajnar, J., Kocijančič, I. 2006. Performance of opportunistic breast cancer screening in Slovenia. In NEOPLASMA, vol. 53, no.3, pp. 237-241. 0028-2685.
APA:
Hertl, K., Primic-Žakelj, M., Žgajnar, J., Kocijančič, I. (2006). Performance of opportunistic breast cancer screening in Slovenia. NEOPLASMA, 53(3), 237-241. 0028-2685.