The mammographic screening will detect many breast cancers at an earlier stage and the accumulating data suggest that appropriate screening not only improves survival but reduces the absolute mortlity from breast cancer. This study was performed
to
determine theefficacy of screening mammography. From march 1993 to September 1993, the 1247 cases of women who underwent screning mammography at Chung-ang University health Center were revciewed retrospectively. The age distribution of 1247 cases
who
underwent screening mammography revoaled tat 328 cases(26.3%) were in 5th decade, 303 cases(24.3%) were in 6th decade and average age was 47.2 years old. The cases of abnormal mammographic findings were 85 cases(6.8%). Of the 85 cases, 38
cases(44.7%)
were fibrocystic disease. The person who recommended operation by sugeons were 26 cases(30.6%) of 85 abnormal mammographic findings. Among these cases, the 13 cases(50.0%) were refused operation by themselves. The pathological results of 13
excisional
biopsy cases were as follow; In 8 suspected benign breast disease : 5 cases were fibrocystic disease and 3 cases were fibroadenoma. In 5 suspected malignant breast disease : 1 case was sclerosing adenosis, 1 cases was non-made, 1 cases was early
stage
breast cancer(T1M0M0) and 2 cases were ductal carcinoma in situ (DCIS).
Among total 22,527 female cancer patients in Korea, 1992, breast cancer ranked third place -2,571 cases (11.4%)-in female. In the absence of major advances in treatment, screening seems to have the most immediate potential for control of breast
cancer.
Mammography has come to be regarded as the most important screening test for the early detection of breast cancer and nationwide educational programs are needed to overcome the barriers of mammographic screening.
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