Screening for mammary cancer in the state of Huila, Colombia
Screening for mammary cancer in the state of Huila, Colombia
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DOI：
10.30944/20117582.108
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发表时间：
2019-06-01
期刊：
影响因子：
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通讯作者：
Sanjuán, Juan
中科院分区：
文献类型：
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作者：
Olaya, Justo Germán;Cardozo, July Andrea;Sanjuán, Juan
摘要简介：哥伦比亚的乳腺癌筛查工作遵循《社会保障部指南》，从40岁的妇女开始进行年度临床检查，对50至69岁的妇女进行两年一次的乳房X光检查。本文介绍了哥伦比亚威拉州乳房X光检查和乳房临床检查的经验。方法和材料：位于哥伦比亚南部的威拉州有1,097,615人口。15个乡镇被选为研究对象。筛查是在2011年6月至2013年12月期间进行的。在一段稳定的时间里，定制的车辆在每个乡镇都留了下来。这个移动单元配备了接待区、S医生办公室和数字化乳房X光摄影单元。筛查通过乳房临床检查和双投影乳房X线片进行。结果：共筛查5212名患者，其中4995名患者信息完整。临床乳腺检查阳性100例(2%)，BI-RADS3型占51.9%，BIRADS4型或5型56例(1.12%)。确诊29例，其中原位癌9例，浸润性癌20例，其中早期肿瘤17例(59%)。讨论：这项工作表明，在远离哥伦比亚大城市中心的城镇，有可能通过乳房X光检查和乳房临床检查来筛查乳腺癌，前提是有基本的基础设施和接受过乳腺癌早期检测培训的普通医生或护士。
Abstract Introduction: Breast cancer screening in Colombia is performed following the “Ministerio de Salud y Protección Social” guidelines, through annual clinical examination starting with women 40 years old and biennial mammography in women between 50 and 69 years old. The article shows the experience in screening with mammography and breast clinical examination in the state of Huila, Colombia. Methods and materials: The state of Huila, located in southern Colombia, has a population of 1,097,615. Fifteen townships were selected for the study. Screening was carried out between June 2011 and December 2013. A customized vehicle stayed in every single township during an stablished period of time. This mobile unit was equipped with a reception area, a doctor´s office and a digitalized mammography unit. Screening was performed by breast clinical examination and a two-projection mammography. Results: 5,212 patients were screened, of which 4,995 had complete information. 100 women (2%) had positive clinical breast examination findings; 51.9% of the mammographies were BI-RADS 3, and 56 (1.12%) were BI-RADS 4 or 5. Diagnosis of cancer was confirmed in 29 patients, 9 of them with carcinoma in situ, and 20 with infiltrating carcinoma, of which 17 (59%) had early stage tumors. Discussion: This work shows that it is possible to screen for mammary cancer with mammography and breast clinical examination in townships away from the large urban centers of Colombia, provided there are a basic infrastructure and general physicians or nurses with training in early detection of breast cancer.