Primary Prevention of Breast Cancer, Screening for Early Detection of Breast Cancer, and Diagnostic Evaluation of Clinical and Mammographic Breast Abnormalities

2008 ◽  
pp. 27-55
Author(s):  
Therese B. Bevers
2011 ◽  
pp. 143-147
Author(s):  
Dongfeng Wu ◽  
Adriana Pérez

Breast cancer screening programs have been effective in detecting tumors prior to symptoms. Recently, there has been concern over the issue of over-diagnosis, that is, diagnosis of a breast cancer that does not manifest prior to death. Estimates for over-diagnosis vary, ranging from 7 to 52%. This variability may be due partially to issues associated with bias and/or incorrect inferences associated with the lack of probability modeling. A critical issue is how to evaluate the long-term effects due to continued screening. Participants in a periodic screening program can be classified into four mutually exclusive groups depending on whether individuals are diagnosed and whether their symptoms appear prior to death: True-earlydetection; No-early-detection; Over-diagnosis; and Not-sonecessary. All initially superficially healthy people will eventually fall into one of these four categories. This manuscript reviews the major methodologies associated with the over-diagnosis and long-term effects of breast cancer screening.


2021 ◽  
Author(s):  
Provia Ainembabazi ◽  
Derrick Bary Abila ◽  
Grace Manyangwa ◽  
Godwin Anguzu ◽  
Innocent Mutyaba ◽  
...  

Abstract Introduction In Uganda, Breast cancer is the most common cancer in females globally. The majority of the patients present with advanced-stage disease at diagnoses and experience high mortality. This underscores the importance of early detection approaches based on awareness of risk factors and self-perceived risks, and symptoms of the disease to promote adoption of risk reduction behaviors and prompt health-seeking respectively. This study assessed the self-perceived risk of breast cancer, and breast cancer screening behaviours among first-degree female relatives of breast cancer patients in Uganda.Methods This was a cross-sectional study employing quantitative approaches for data collection and analyses. First-degree female relatives of patients attending care at Uganda Cancer Institute were recruited consecutively in the study. A pre-tested coded questionnaire was used to collect data on self-perceived risks, breast cancer risks, and breast cancer screening behaviours. Data were collected between March to October 2019. A modified Poisson regression model was used to evaluate factors associated with self-perceived risk of breast cancer and breast cancer risk awareness.ResultsWe enrolled 296 first-degree female relatives from 197 female breast cancer patients. The median age (IQR) was 33 (26-43) years. A majority (60.1%, 178/296) of the participants had a low self-perceived risk of breast cancer. Breast self-examination (55.7%, 165/296) was the most practiced screening method followed by clinical breast examination (n= 64/296, 21.6%), ultrasound scan of the breast (7.8%, 23/296,), and mammogram (3.7%, 11/296). Women aged 35-44 years had a higher self-perceived risk of breast cancer (adjusted Incident Rate Ratio [aIRR]: 1.75, 95%CI: 1.10-2.80), compared to women aged 18-25 years. ConclusionFirst-degree relatives reported a low self-perceived risk of breast cancer. Breast cancer health education especially targeting younger women should emphasize the increased risk of breast cancer in first-degree relatives of patients with breast cancer. There is a need to increase awareness of breast cancer screening methods and their usefulness in the early detection of breast cancer among all women in Uganda.


2018 ◽  
Vol 08 (04) ◽  
Author(s):  
Roy Rillera Marzo ◽  
Dinaramalar Sukkirasingam ◽  
Vimalan Letchumanan ◽  
Shangari Anbarasu ◽  
Thiran Raj Ramiah ◽  
...  

Author(s):  
Minoor Lamyian ◽  
Fazlollah Ahmadi ◽  
Hosna Sheikholeslami

Background: The purpose of this qualitative study is to explore Iranian women’s perceptions, behaviors, and beliefs related to breast cancer screening readiness, with a focus on the role of religion. Methods: Our sample consisted of 25 women, 35 to 65 years old, who resided in Tehran, Iran. It included 15 at-risk women (self-reported history of breast cancer before the age of 40 in their family) and 10 others with a history of breast cancer. All interviewees were Muslim who spoke Persian (Farsi). The women were chosen using purposive sampling. We used a qualitative content analysis design with a constant comparative analysis approach, which is appropriate for obtaining reliable and valid results from textual data. Results: The overarching theme apparent from transcript analysis was that of “Clergywoman Can Play a Role in Increasing Awareness”. Four categories, namely, (1) Lack of information regarding breast cancer screening, (2) Awareness can improve self-care, (3) Religious outlooks of participants can influence early detection behaviors, (4) Clergywoman can play a role in increasing awareness, were identified. However, we found that the majority of interviewees lacked information about breast cancer screening and prevention. This was often both the cause and the effect of fear and misunderstandings about the process. Furthermore, we found that religious authorities, particularly clergywomen, who speak from a religious perspective, could play a significant and effective role in convincing women to pursue prevention measures. Additionally, we found that many women emphasized that religious gatherings, or framing health messages in a religious narrative, could be a significant step forward in advocating early detection behaviors. Conclusion: Our study shows that religion is a motivating factor in breast cancer early detection behavior and offers new insight into women’s perceptions of self-care. It highlights a potentially significant role of clergywomen in encouraging women in Tehran, Iran to pursue breast cancer screening.


Author(s):  
Eileen Thomas ◽  
Socorro Escandón ◽  
Minoor Lamyian ◽  
Fazlolah Ahmadi ◽  
Sam Setoode ◽  
...  

The purpose of this study was to explore Iranian women's perceptions, behaviors, and beliefs related to breast cancer screening, breast cancer, and follow up care. A qualitative descriptive inquiry with both individual and focus group interviews was conducted in Tehran with 31 Farsi-speaking women, age 35 to 65 years of age. A constant comparison method of analysis assisted the researchers in gaining an understanding of factors that influence Iranian women's perceptions regarding the control and prevention of breast cancer. Findings suggest that insufficient knowledge regarding breast cancer and breast cancer screening is a significant factor among this population. Breast cancer programs are needed in Iran that address women's religious beliefs and spiritual needs.


2011 ◽  
Vol 5 (3) ◽  
pp. 143 ◽  
Author(s):  
Dongfeng Wu ◽  
Adriana Pérez

Breast cancer screening programs have been effective in detecting tumors prior to symptoms. Recently, there has been concern over the issue of over-diagnosis, that is, diagnosis of a breast cancer that does not manifest prior to death. Estimates for over-diagnosis vary, ranging from 7 to 52%. This variability may be due partially to issues associated with bias and/or incorrect inferences associated with the lack of probability modeling. A critical issue is how to evaluate the long-term effects due to continued screening. Participants in a periodic screening program can be classified into four mutually exclusive groups depending on whether individuals are diagnosed and whether their symptoms appear prior to death: True-earlydetection; No-early-detection; Over-diagnosis; and Not-sonecessary. All initially superficially healthy people will eventually fall into one of these four categories. This manuscript reviews the major methodologies associated with the over-diagnosis and long-term effects of breast cancer screening.


2020 ◽  
Author(s):  
Hossein Yahyazadeh ◽  
Marzieh Beheshti ◽  
Azita Abdollahinejad ◽  
Maria Hashemian ◽  
Narges Sistany Allahabad ◽  
...  

Breast cancer is the most prevalent Iranian female malignancy. Breast screening reduces the number of malignant breast diseases. We aimed to assess the results of the pilot breast cancer screening on early detection in female medical staff in Milad Hospital, Tehran, Iran. A cross-sectional study. Female medical staff from Milad Hospital, Tehran, Iran, were examined by a specialist in 2016. A checklist, including demographic data, was completed by the participants. If necessary, they referred to as sonography or mammography. Data were analyzed using SPSS software. Of 746 people enrolled, 137 had no pathological point, 609 had suspicious or positive findings that were referred for further investigation, 449 had normal findings, and 7 had suspicious mass and were biopsied, 6 were benign. One case had primary invasive cancer. Since screening for breast cancer helps to early detection of this disease, the implementation of cancer screening programs should be on the priority of health authorities.


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