Abstract
The curability of breast cancer can be increased by efforts at early diagnosis using mammography, self-examination of the breast and periodic examinations in a cancer screening program. We have studied a triple diagnostic approach that combines clinical examination, mammography and fine needle aspiration biopsy in women with breast symptoms and have found that diagnostic accuracy is increased, breast cancer is diagnosed earlier, treatment is better planned, radical surgery is usually possible without preliminary open biopsy, precancerous lesions are detected, high risk groups of patients are identified, and surgical biopsy of benign lesions can be avoided in many patients.
Résumé
La curabilité du cancer du sein peut Être accrue en s'efforÇant de réaliser un diagnostic précoce par l'usage de la mammographie, par l'auto-examen et par des examens périodiques dans un programme de dépistage. Nous avons utilisé une triple approche diagnostique combinant l'examen clinique, la mammographie et la biopsie à l'aiguille chez les femmes présentant une Symptomatologie mammaire. Nous avons constaté que la précision du diagnostic est accrue, que le cancer est diagnostiqué plus précocement et que le traitement est mieux planifié. L'indication d'exérèse est habituellement possible sans biopsie chirurgicale, les lésions précancéreuses sont détectées, les patientes à haut risque sont identifiées et la biopsie chirurgicale des lésions bénignes peut Être évitée chez un grand nombre de patientes.
Similar content being viewed by others
References
Gilbertson, V.A., Wangensteen, O.H.: The results of efforts for asymptomatic diagnosis of malignant disease. Surg. Gynec. Obstet.116:413, 1963
Missakian, M.M., Witten, D.M., Harrison, E.G., Jr.: Mammography after mastectomy. J.A.M.A.191:1045, 1965
Egan, R.L.: Roles of mammography in the early detection of breast cancer. Cancer24:1197, 1969
Gershon-Cohen, J., Hermel, M.B., Berger, S.M.: Detection of breast cancer by periodic x-ray examinations. A five-year survey. J.A.M.A.176:1114, 1961
Gros, C.M.: Methodologie. Symposium Europeen de Radiologie Mammaire. J. Radiol. Electrol.48:638, 1967
Egan, R.L.: Experience with mammography in a tumor institution. Evaluation of 1,000 studies. Radiology75:894, 1960
Wolfe, J.N.: Xeroradiography of the Breast. Springfield, Illinois, Charles C. Thomas, Publisher, 1972
Wolfe, J.N., Dooley, R.P., Harkins, L.E.: Xeroradiography of the breast: A comparative study with conventional film mammography. Cancer28:1569, 1971
Bjurstam, N., Hedberg, K., Hultborn, K.A., Johansson, N.T., Johnsén, C.: Diagnosis of breast carcinoma; an evaluation of clinical examination, mammography, thermography and aspiration biopsy in breast disease. Prog. Surg.13:1, 1974
Gershon-Cohen, J.: Thermography. Penn. Med.70:39, 1967
Aarts, N.J.M.: The contribution of thermography to the diagnosis of breast cancer. J. Belge Radiol.55:71, 1972
Johansson, N.T., Bjurstam, N., Hedberg, K., Hultborn, A., Johnsén, C.: Thermography of the breast. A clinical study with special reference to breast cancer detection. Acta Chir. Scand., Suppl.460:1, 1976
Jakobsen, S., Lundgren, B., Norin, T., Melander, O.: Health screening of half the population of a mediumsized Swedish city: a preliminary report on early breast cancer detection. Second International Symposium on Cancer Detection and Prevention (Bologna, Italy, 1973). Excerpta Medica, International Congress Series No. 275, 1973
Gray, L.A.: Role of the physician in the diagnosis of breast cancer. Cancer24:1183, 1969
Johnsén, C., Bjurstam, N., Hedberg, K., Hultborn, A., Johansson, N.T., Peterson, L-E.: Breast disease. A clinical study with special reference to diagnostic procedures. Acta Chir. Scand., Suppl.454:1, 1975
Holleb, A.J., Venet, L., Day, E., Hoyt, S.: Breast cancer detected by routine physical examination. Three-year survey of the Strang cancer prevention clinic. N.Y.State J. Med.60:823, 1960
Jenson, C.B., Shahon, D.B., Wangensteen, O.H.: Evaluation of annual examinations in the detection of cancer. J.A.M.A.174:1783, 1960
Strax, P., Venet, L., Shapiro, S.: Value of mammography in the reduction of mortality from breast cancer in mass screening. Am. J. Roentgenol.117:686, 1973
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Johnsén, C., Bjurstam, N. Diagnostic methods in breast cancer. World J. Surg. 1, 290–294 (1977). https://doi.org/10.1007/BF01556840
Issue Date:
DOI: https://doi.org/10.1007/BF01556840