KMID : 0358420080510090933
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Korean Journal of Obstetrics and Gynecology 2008 Volume.51 No. 9 p.933 ~ p.942
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Current opinion for breast cancer screening
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Lee Chae-Hyeong
Roh Ju-Won
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Abstract
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Breast cancer has become one of the most significant health concerns not only in western countries but also in Korea. Screening is the most important method to reduce the mortality related to breast cancer. However, controversy remains about some aspects of breast cancer screening. Breast self-examination has been shown not to improve cancer-specific mortality, but it is commonly advocated as a noninvasive screen. Although the contribution of the clinical breast examination to early detection is difficult to determine, up to 10 percent of mammographically silent cancers can be detected by clinical breast examination. Major health organizations endorse mammographic screening every one to two years for women 40 years, and every year after age 50 as long as the woman is healthy. Although breast
magnetic resonance imaging shows promise as a screening tool in high-risk women 30 years and older, it is not currently recommended for general screening because of high false-positive rates and costs. When applying guidelines to individual patients, risk assessment and clinical judgment including physical examination is needed to ensure appropriate management.
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KEYWORD
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Breast cancer, Screening, Mammography, Magnetic resonance imaging
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