| The potential impact of breast cancer screening in Hong Kong. | |
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MedLine Citation:
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PMID: 9768606 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Breast cancer is the second most common cancer and cause of death in women from Hong Kong. The Well Women Clinic at Kwong Wah Hospital offers breast cancer screening (physical examination and mammography) for women over 40 years of age. METHODS: Results of screening over a 2-year period revealed an overall malignancy detection rate of 2.6 per 1000 screens with a strong selection bias for symptomatic women. RESULTS: Screening only slightly increased the proportion of stage I cancers detected; of the malignancies detected, a significant percentage were in situ cancers with doubtful effects on breast cancer mortality. Teamwork and communication were useful in keeping a low referral rate to the surgical clinic of 6.1%, as well as a low biopsy rate for mammographic abnormalities. CONCLUSIONS: A re-evaluation of the real risk of breast cancer in young women together with the lack of proven value from screening has suggested a need for reconsideration of offering screening to women 40 years and over in Hong Kong. |
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Authors:
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Y Lau; P Y Lau; C M Chan; A Yip |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Australian and New Zealand journal of surgery Volume: 68 ISSN: 0004-8682 ISO Abbreviation: Aust N Z J Surg Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1998-10-15 Completed Date: 1998-10-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0373115 Medline TA: Aust N Z J Surg Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 707-11 Citation Subset: IM |
Affiliation:
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Department of Surgery, Kwong Wah Hospital, Kowloon, Hong Kong. kwfung@hk.super.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biopsy, Needle Breast / pathology Breast Neoplasms / diagnosis*, epidemiology Carcinoma in Situ / diagnosis*, epidemiology Carcinoma, Ductal, Breast / diagnosis*, epidemiology Female Hong Kong / epidemiology Humans Mammography Mass Screening Middle Aged Physical Examination |
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