Braga M, Pinelli D, Filippini L, Ragni F, Piccini P I, Pezzola D, Bianchi A M, Perna E
II Divisione di Chirurgia Generale, Spedali Civili, Brescia.
Minerva Chir. 1996 Dec;51(12):1095-106.
Results are presented concerning the first two cycles of a breast cancer screening program carried out by USSL 41 (the local social health center). 38,000 women were examined in a period ranging from 1987 to 1993 and more than 250 early stage tumors were diagnosed. Early detection by screening is confirmed by tumor size and nodal involvement. Overall, this program carried out in Brescia met requirements set by international and national scientific committees. Good results were obtained as far as quality standards are concerned. The importance of screening is evaluated concerning surgical treatment undergone by the patients. The study of surgical treatment clearly shows the gradual progression of conservative surgery deviating from more destructive operations.
本文展示了由41号地方社会卫生中心（USSL 41）开展的乳腺癌筛查项目前两个周期的结果。在1987年至1993年期间，对38000名女性进行了检查，诊断出250多个早期肿瘤。通过肿瘤大小和淋巴结受累情况证实了筛查的早期检测效果。总体而言，在布雷西亚开展的该项目符合国际和国家科学委员会设定的要求。就质量标准而言，取得了良好的结果。从患者接受的手术治疗方面评估了筛查的重要性。手术治疗的研究清楚地表明了保守手术相对于更具破坏性手术的逐渐发展过程。
