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关于申请妇科门诊的女性对乳腺癌早期诊断筛查方法的实践与行为评估。

Evaluation on the Practice and Behaviour of Women Applied for Gynecology Outpatient Clinics About Screening Methods for Early Diagnosis of Breast Cancer.

作者信息

Hocaoğlu Meryem, Erşahin Aynur Adeviye, Akdeniz Esra

机构信息

Obstetrics and Gynecology Clinic, Istanbul Medeniyet University, Göztepe Training and Research Hospital, İstanbul, Turkey.

Department of Obstetrics and Gynecology, Bahçeşehir University Faculty of Medicine, İstanbul, Turkey.

出版信息

Eur J Breast Health. 2017 Jul 1;13(3):150-155. doi: 10.5152/ejbh.2017.3230. eCollection 2017 Jul.

Abstract

OBJECTIVE

Breast self-examination (BSE), clinical breast exam (CBE), mammography and ultrasound imaging (UI) are screening methods used for early diagnosis of breast cancer (BC). The purpose of this study is to put forth the utilization frequency of these screening methods among women presenting to the gynecology outpatient clinics and the relation of these data with the socio-demographic characteristics of the women.

MATERIALS AND METHODS

A survey was conducted among 429 women (age, 16-80 years) who were admitted to the gynecology outpatient clinics. The survey inquired about the rate and frequency of the performance of BSE, CBE, mammography and UI; personal and family history of breast cancer and social-demographic characteristics of the women.

RESULTS

The mean age was 40.08 (SD: 3.67). More than half of the women above 40 years of age (59.7 %) had never undergone mammography. 99.8 % of the women who had undergone mammography had also received ultrasound imaging. A significant relationship was identified between the BSE performance and having mammography. 57.4% of the women above 40 years of age (117) had UI, 53.9% (110) had CBE and 57.3% (117) performed BSE. There was a significant relationship between the age, education status and regular BSE; positive family history of BC and having CBE and mammography.

CONCLUSION

The results reveal that the rate of BSE performance, having mammography and CBE are at less-than-ideal levels. In this context, it is apparent that breast cancer screening methods are needed to be introduced and guidance about their application frequency should be provided for women in gynecology outpatient clinics.

摘要

目的

乳房自我检查(BSE)、临床乳房检查(CBE)、乳房X线摄影和超声成像(UI)是用于早期诊断乳腺癌(BC)的筛查方法。本研究的目的是提出这些筛查方法在妇科门诊就诊女性中的使用频率,以及这些数据与女性社会人口学特征的关系。

材料与方法

对429名(年龄16 - 80岁)到妇科门诊就诊的女性进行了一项调查。该调查询问了BSE、CBE、乳房X线摄影和UI的执行率和频率;乳腺癌的个人和家族史以及女性的社会人口学特征。

结果

平均年龄为40.08(标准差:3.67)。40岁以上的女性中,超过一半(59.7%)从未进行过乳房X线摄影。进行过乳房X线摄影的女性中,99.8%也接受了超声成像。BSE执行情况与进行乳房X线摄影之间存在显著关系。40岁以上的女性中,57.4%(117人)进行了超声成像,53.9%(110人)进行了临床乳房检查,57.3%(117人)进行了乳房自我检查。年龄、教育程度与定期进行乳房自我检查之间;乳腺癌家族史阳性与进行临床乳房检查和乳房X线摄影之间存在显著关系。

结论

结果显示,乳房自我检查、进行乳房X线摄影和临床乳房检查的比例处于不理想水平。在这种情况下,显然需要在妇科门诊向女性介绍乳腺癌筛查方法,并提供关于其应用频率的指导。

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Practice bulletin no. 122: Breast cancer screening.第122号实践公告:乳腺癌筛查
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