Séguret F, Daures J P, Guizard A V, Mathieu-Daude H, Bonifacj J C, Cherifcheik J, Lamarque J L
Départment de Santé Publique, Epidémiologie, Biostatistiques et Informatique Módicale, Centre Hospitalier Régional de Nîmes, France.
Eur J Cancer Prev. 1995 Aug;4(4):299-305.
Breast screening in the Herault Department (France) has been carried out since July 1990. As with other French programmes, it is a population-based screen, whose main features are related to its organization in that: (a) it is performed by a specific unit (the 'Institut Montpelliérain d'Imagerie Medico-Biologique'); and (b) the group of women targeted is those aged 40-70 years. The two-view mammography is performed every 2 years in mobile units. This paper presents the results after 30 months: 26,026 participants were screened from a target population of 52,617 women, giving a participation rate of 49%. The recall rate and the biopsy rate observed were 7% and 1.5%, respectively. The predictive positive value was 8.4% for a positive test while it was 35% for the biopsy; the values increased with age. 137 cancers were observed giving a detection rate of 5.3%, of which 82% were in situ. Small (< or = to 10 mm) tumours represented 41.5%, and 71.5% of the cancers were node negative. The surgical treatment was conservative for 66% of them.
自1990年7月起，法国埃罗省开展了乳腺癌筛查。与法国的其他项目一样，这是一项基于人群的筛查，其主要特点与其组织方式有关，具体如下：（a）由一个特定单位（“蒙彼利埃医学-生物学成像研究所”）进行；（b）目标女性群体为40至70岁。每两年在移动设备上进行一次双视角乳房X线摄影。本文介绍了30个月后的结果：从52617名目标女性人群中筛选出26026名参与者，参与率为49%。观察到的召回率和活检率分别为7%和1.5%。阳性检测的预测阳性值为8.4%，活检时为35%；这些值随年龄增长而增加。观察到137例癌症，检出率为5.3%，其中82%为原位癌。小肿瘤（≤10毫米）占41.5%，71.5%的癌症无淋巴结转移。其中66%的患者接受了保守手术治疗。
