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Breast cancer diagnosis by screening mammography: early results of the Central Sydney Area Health Service Breast X‐ray Programme
Author(s) -
Rickard Mary T.,
Lee Warwick,
Read John W,
Scott Andrew J,
Stephen David D,
Grace Julienne
Publication year - 1991
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1991.tb121000.x
Subject(s) - mammography , medicine , breast cancer , cancer , gynecology , mammography screening , breast cancer screening , biopsy , general surgery , obstetrics , radiology
The central Sydney Area Health Service (CSAHS) Breast X‐ray Programme is a pilot mammography screening project for breast cancer detection funded by the NSW Government. Screening by two‐view mammography is carried out in a mobile van and is offered free to women aged over 45 years living in the CSAHS region, the inner western suburbs of Sydney. In the first 18 months of operation from March 1988, 7193 women were screened: 99 women underwent excision biopsy and 53 cancers were diagnosed. This is an overall detection rate of seven cancers per thousand women screened. Sixty per cent of the cancers were impalpable to the examining surgeon; 19% of all cancers were shown to have axillary node metastasis at the time of diagnosis. These results compare well with those of the major European screening studies.