Exbrayat C, Garnier A, Bolla M, Winckel P, Salicru B, Marron J, Faure H, Menegoz F, Billette de Villemeur A
Office départemental de lutte contre le cancer, Meylan, France.
Bull Cancer. 1996 Aug;83(8):641-8.
The mass screening program for cancer in the Isere department offers women between 50 and 69 years a medical consultation and three tests: mammography for breast cancer screening, Pap smear for cervical cancer screening, and hemoccult for colorectal cancer. During the first round, 29,570 women took part in the program, 21% had a mammography, 20% Pap smears and 25% a hemoccult. In breast cancer screening, the rate for further examination was 11.9%, the breast cancer detection rate was 5.4 per 1,000 women screened and the detection rate of invasive tumor < or = 10 mm: 2.0 per 1,000. In cervical cancer screening, the rate of abnormal examinations was 1.2%. The cervical cancer detection rate was 1.5 per 1,000. The rate of positive hemoccult was 2.7% and the rate of colorectal cancers and polyps 10 mm or larger was 2.7 per 1000. Results of screening are satisfying, but compliance rate is too low. Acceptance rate must be examined in following rounds.
伊泽尔省的癌症大规模筛查项目为50至69岁的女性提供一次医疗咨询和三项检查：用于乳腺癌筛查的乳房X光检查、用于宫颈癌筛查的巴氏涂片检查以及用于结直肠癌筛查的潜血检查。在第一轮筛查中，29,570名女性参与了该项目，其中21%接受了乳房X光检查，20%接受了巴氏涂片检查，25%接受了潜血检查。在乳腺癌筛查中，进一步检查的比例为11.9%，每1000名接受筛查的女性中乳腺癌检出率为5.4例，侵袭性肿瘤≤10毫米的检出率为每1000人2.0例。在宫颈癌筛查中，异常检查的比例为1.2%。宫颈癌检出率为每1000人1.5例。潜血检查阳性率为2.7%，每1000人中结直肠癌和息肉≥10毫米的比例为2.7例。筛查结果令人满意，但依从率过低。在后续轮次中必须检查接受率。
