Breast screening in the emerging world: High prevalence of breast cancer in Cairo
Breast screening in the emerging world: High prevalence of breast cancer in Cairo
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DOI：
10.1016/j.breast.2005.07.002
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发表时间：
2005-10-01
期刊：
影响因子：
3.9
通讯作者：
Miller, AB
中科院分区：
文献类型：
--
作者：
Boulos, S;Gadallah, M;Miller, AB
开罗乳房筛查试验(CBST)旨在评估临床乳房检查作为初级保健的主要筛查方式的作用，因为在埃及，乳腺癌通常是在晚期诊断的。开罗的一家专科医疗中心(意大利医院)被选为研究的总部。最初的目标群体是居住在意大利医院周围地理区域的35岁-的女性，社会工作者联系了4116人，并邀请她们到初级卫生中心进行临床乳房检查。观察到乳腺癌的发生率很高；第一次检查时每1000人中有8人患有乳腺癌，而在那些参加再次筛查的人中，这一比例类似于-2‰。最初的患病率表明，社区中许多患有早期但明显的乳腺癌的女性在癌症晚期之前没有寻求医疗护理。再次筛查的发现率，以及只接受一次筛查或没有接受筛查的患者的随访后的发现率(类似于3/1000)与预期相似。(C)2005爱思唯尔有限公司。保留所有权利。
The Cairo Breast Screening Trial (CBST) was designed to evaluate the role of clinical breast examination as a primary screening modality in the context of primary care, as in Egypt breast cancer is usually diagnosed at an advanced stage. A specialised medical centre in Cairo (the Italian Hospital) was selected as the headquarters of the study. The initial target group was women age 35-64 living in a geographically defined area around the Italian Hospital, 4116 being contacted by social workers and invited to attend a Primary Health Centre for clinical breast examination. High rates of breast cancer were observed; 8 per 1000 at the first examination and similar to-2 per thousand among those who attended for re-screening. The initial prevalence suggests that many women in the community with early but palpable breast cancer fail to seek medical attention until their cancer is advanced. The detection rate on re-screening, and after follow-up of those who only received one or no screens, (similar to 3/1000) is similar to expectation. (c) 2005 Elsevier Ltd. All rights reserved.