[Breast cancer screening. State of the art and introduction to preventive measures].
Carcinoma of the breast is the most frequent cause of death in women aged between approximately 38 and 50 years. At present, 1 out of 14 women in Germany and 1 out of 9 in America suffer from breast cancer within a life time. To date, modern methods of treatment and hormone therapy have only been able to increase long-term survival by about 12%. Trials have shown that early diagnosis alone has been able to increase survival from 20% to 50%. Early diagnosis proved to be most effective when clinical examination plus mammography in two planes was carried out annually. An increase in survival has been achieved in post-menopausal women as a result of screening. 22 percent of breast cancers were detected at a curable in situ stage by means of screening. Even after a limited screening program of 4 examination cycles the increase in survival rate over 15-20 years was significant.
von Fournier
D
D
Abteilung Gynäkologisch-Geburtshilfliche Radiologie, Universitätsklinik Heidelberg.
Anton
H W
HW
Junkermann
H
H
Bastert
G
G
van Kaick
G
G
D001943:Breast Neoplasms / Q000517:prevention & control*; D016504:Breast Self-Examination; D005260:Female; D006801:Humans; D008327:Mammography; D008403:Mass Screening
Brustkrebsscreening. Wissensstand und Einführung als Vorsorgeleistung.