A mass screening program for breast cancer in Japan consists of physical examination (PE) and education on regular breast self-examination (BSE).
The effect of PE with BSE on clinical stages and courses of breast cancer patients were retrospectively analyzed.
Clinical stages and courses were compared between ; i) patients who were examined in outpatient clinics (OPC, n=587), ii) patients who were detected by mass screening with regular BSE [BSE (+), n=68], and iii) without BSE [BSE (-), n=178]. Clinical stage in BSE (+) was significantly earlier than that in BSE (-) or OPC.
As early stage cancer was most common in BSE (+), conservative surgery was mostly selected.
Survival curve in BSE (+) was significantly better than those in BSE (-) or OPC.
BSE complements the role of mass screening by PE for early detection and a more favorable clinical course.
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Dépistage, Autoévaluation, Exploration clinique, Stade clinique, Courbe survie, Pronostic, Japon, Asie, Homme, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Medical screening, Self evaluation, Clinical investigation, Clinical stage, Survival curve, Prognosis, Japan, Asia, Human, Mammary gland diseases
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0075644
Code Inist : 002B20E02. Création : 14/05/1998.