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Results of a pilot programme of mammographic breast cancer screening in the Western Cape

dc.contributor.authorApffelstaedt, Justus P.en_ZA
dc.contributor.authorHattingh, Rethaen_ZA
dc.contributor.authorBaatjes, Karinen_ZA
dc.contributor.authorWessels, Natalieen_ZA
dc.date.accessioned2015-12-08T10:28:20Z
dc.date.available2015-12-08T10:28:20Z
dc.date.issued2014-04
dc.identifier.citationApffelstaedt, J. P., Hattingh, R., Baatjes, K. & Wessels, N. 2014. Results of a pilot programme of mammographic breast cancer screening in the Western Cape. South African Medical Journal, 104(4):297-298, doi:10.7196/SAMJ.7242.
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.otherdoi:10.7196/SAMJ.7242
dc.identifier.urihttp://hdl.handle.net/10019.1/97673
dc.descriptionCITATION: Apffelstaedt, J. P., Hattingh, R., Baatjes, K. & Wessels, N. 2014. Results of a pilot programme of mammographic breast cancer screening in the Western Cape. South African Medical Journal, 104(4):297-298, doi:10.7196/SAMJ.7242.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractBackground. Mammographic screening programmes are now established in developing countries. We present an analysis of the first screening programme in sub-Saharan Africa. Methods. Women aged ≥40 years were identified at three primary healthcare centres in the Western Cape Province, South Africa, and after giving informed consent underwent mammography at a mobile unit. After a single reading, patients with American College of Radiology Breast Imaging Reporting and Data System (BIRADS) 3 - 5 lesions were referred to a tertiary centre for further management. Results. Between 1 February 2011 and 31 August 2012, 2 712 screening mammograms were performed. A total of 261 screening mammograms were reported as BIRADS 3 - 5 (recall rate 9.6%). Upon review of the 250 available screening mammograms, 58 (23%) were rated benign or no abnormalities (BIRADS 1 and 2) and no further action was taken. In 32 women, tissue was acquired (biopsy rate for the series 1.2%); 10 cancers were diagnosed (biopsy malignancy rate 31%). For the entire series of 2 712 screening mammograms, the cancer diagnosis rate was 3.7/1 000 examinations. Of 10 cancers diagnosed at screening, 5 were TNM clinical stage 0, 2 stage I and 3 stage II. Conclusions. The low cancer detection rate achieved, and the technical and multiple administrative problems experienced do not justify installation of a screening programme using the model utilised in this series.en_ZA
dc.description.urihttp://www.samj.org.za/index.php/samj/article/view/7242
dc.format.extent2 pages
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Group
dc.subjectBreast - Radiographyen_ZA
dc.titleResults of a pilot programme of mammographic breast cancer screening in the Western Capeen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderSouth African Medical Journal
dcterms.subjectBreast -- Cancer -- Imagingen_ZA


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