Mert Tuba
Department of General Surgery, Pendik Medipol University Faculty of Medicine, İstanbul, Türkiye.
Turk J Surg. 2022 Sep 19;38(3):230-236. doi: 10.47717/turkjsurg.2022.5672. eCollection 2022 Sep.
Early detection is the most important cornerstone of breast cancer in determining treatment outcome and survival. In this study, it was aimed to investigate the level of knowledge, attitude, and practice of mammography in the early diagnosis of breast cancer in a group of women.
Data of this descriptive study were collected under observation with the help of a questionnaire. Female patients over 40 years of age or over 30 years of age with a family history of breast cancer admitted to our general surgery outpatient clinic for a health problem other than breast were included.
A total of 300 female patients with a mean age of 48.7 ± 10.9 years (min-max, 33-83 years) were included. Median frequency of correct answers among the women participating in the study was 83.7% (76.0-92.0). Mean score obtained by the participants from the questionnaire was 75.7 ± 15.8 (the median score 80; 25-75 centiles, 73.3-86.7). Slightly more than half of the patients (159 patients, 53%) had at least one mammography scan before. The level of mammography knowledge was negatively correlated with age and the number of previous mammographies, and positively correlated with education level (r= -0.700, p <0.001; r= -0.419, p <0.001 and r= 0.643, p <0.001, respectively).
Although the level of knowledge about breast cancer and early diagnosis methods in women was at a satisfactory level, it is obvious that mammography screening practice of women without any breast symptoms is very low. Therefore, it should be aimed to increase women's awareness of cancer prevention and compliance with early diagnosis methods and to promote participation in mammography screening.
早期发现是乳腺癌决定治疗结果和生存的最重要基石。本研究旨在调查一组女性对乳腺钼靶检查在乳腺癌早期诊断中的知识、态度和实践水平。
本描述性研究的数据借助问卷在观察下收集。纳入因非乳腺问题到我院普通外科门诊就诊的40岁以上或有乳腺癌家族史的30岁以上女性患者。
共纳入300例平均年龄为48.7±10.9岁(最小-最大年龄,33-83岁)的女性患者。参与研究的女性中正确答案的中位数频率为83.7%(76.0-92.0)。参与者从问卷中获得的平均分数为75.7±15.8(中位数分数80;25-75百分位数,73.3-86.7)。略多于一半的患者(159例患者,53%)之前至少进行过一次乳腺钼靶扫描。乳腺钼靶检查知识水平与年龄和既往乳腺钼靶检查次数呈负相关,与教育水平呈正相关(r分别为-0.700,p<0.001;r为-0.419,p<0.001;r为0.643,p<0.001)。
尽管女性对乳腺癌及早期诊断方法的知识水平处于令人满意的水平,但显然无症状女性的乳腺钼靶筛查实践非常低。因此,应旨在提高女性的癌症预防意识和对早期诊断方法的依从性,并促进其参与乳腺钼靶筛查。