乳がん検診の現状と課題(6)横浜市におけるマンモグラフィ併用乳がん検診の現状と課題

  • 久保内 光一
    よこはま乳腺と胃腸の病院 横浜市マンモグラフィ併用乳がん検診総合判定委員会
  • 福田 護
    横浜市マンモグラフィ併用乳がん検診総合判定委員会
  • 八十島 唯一
    横浜市マンモグラフィ併用乳がん検診総合判定委員会
  • 土井 卓子
    横浜市マンモグラフィ併用乳がん検診総合判定委員会
  • 郷地 英二
    横浜市マンモグラフィ併用乳がん検診総合判定委員会
  • 萩原 明
    横浜市マンモグラフィ併用乳がん検診総合判定委員会

書誌事項

タイトル別名
  • Breast Cancer Screening with Mammography in Yokohama City : Improvement of Quality Control

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説明

Biennial screening mammography for breast cancer examinations has been carried out in Yokohama City for women aged 50 years and older since October 2001. In two and a half years, 33, 642 eligible women have been screened, 89 have been diagnosed as having cancer, and the cancer detection rate has been 0.26%. Although quality control was not satisfactory in the first year-with a 19.1% rate of women requiring a detailed re-examination-the rate was reduced to 6.9% in the last year by efforts to change the system without decreasing of the cancer detection rate. It was the main change to the system that the second mammogram reading for double-checking had been made more important than before. Another significant change was a dramatic reduction in the requirement rate for re-mammography (2.53%→0.13%), indicating a large improvement in the technical aspects of mammography at the institutions concerned.<BR>Since 76.3% of the diagnosed cancers were classified as stage 0 and I, this screening system is considered to have contributed to improving the prognosis of the examinees.

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