[Diagnostic mode and tumor staging of breast cancers in the setting of opportunistic screenings].
OBJECTIVE
To analyze data at the time of diagnosis of breast cancer in three radiology practices in Austria in the setting of opportunistic screening.


METHODS
In 529 women (ages 31 - 89, mean age 61.1) with breast cancer, the mode of diagnosis (detected clinically or by opportunistic screening), the local tumor stages, and intervals between screening examinations were assessed.


RESULTS
In 33.6 % (178 of 529) of the cases, the breast cancer was detected clinically, and in 66.4 % (351 of 529) of the cases, the cancer was detected by opportunistic screening. Cancers in prognostically favorable stages (in situ carcinomas, pT1 a, pT1 b, pT1c) were detected by opportunistic screening in 79.9 % of the cases. The clinically detected cancers were in locally advanced stages (pT2, pT3) in 58.4 % of the cases. In the majority of clinically detected cases (75 %), the women had never had a mammogram before or had not had a recent one. In 13 % of the cases detected by opportunistic screening, diagnosis was made during the first exam, in 40 % of the cases, the period since the last mammogram was less than 24 months, and in 47 % of the cases, this period was greater than 24 months.


CONCLUSIONS
In our patients the majority of breast cancers were detected in early stages by opportunistic screening. The use of an organized system with exams at regular intervals may further reduce the number of advanced cancers.
Graf
O
O
Institut für Radiologie Dr. Graf, Steyr, Osterreich. Oswald.Graf@utanet.at
Obermayer
M
M
Scheurecker
A
A
Hopf
G
G
Kramer
J
J
Frühwald
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001317:Austria / Q000453:epidemiology; D001943:Breast Neoplasms / Q000453:epidemiology* / Q000473:pathology*; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009367:Neoplasm Staging / Q000706:statistics & numerical data; D011379:Prognosis; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity