Performance of breast cancer screening methods and modality among Chinese women: a report from a society-based breast screening program (SBSP) in Shanghai

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• 作者：Miao Mo ; Guang-yu Liu ; Ying Zheng ; Lian-fang Di ; Ya-jie Ji ; Li-lang Lv…
• 关键词：Breast cancer screening ; Clinical breast examination ; Mammography ; Breast ultrasonography ; Sensitivity ; Specificity
• 刊名：SpringerPlus
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：2
• 期：1
• 全文大小：268KB
• 参考文献：Burton RC, Bell RJ, Thiagarajah G, Stevenson C: Adjuvant therapy, not mammographic screening, accounts for most of the observed breast cancer specific mortality reductions in Australian women since the national screening program began in 1991. Breast Cancer Res Treat 2012, 131:949鈥?55.CrossRef
  Deroo LA, Vlastos AT, Mock P, Vlastos G, Morabia A: Comparison of women鈥檚 breast cancer risk factors in Geneva, Switzerland and Shanghai, China. Prev Med 2010, 51:497鈥?01.CrossRef
  Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM: Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 2010, 127:2893鈥?917.CrossRef
  Gotzsche PC, Nielsen M: Screening for breast cancer with mammography. Cochrane Database Syst Rev 2011., 1: CD001877
  Hermon C, Beral V: Breast cancer mortality rates are levelling off or beginning to decline in many western countries: analysis of time trends, age-cohort and age-period models of breast cancer mortality in 20 countries. Br J Cancer 1996, 73:955鈥?60.CrossRef
  Jatoi I: Screening clinical breast examination. Surg Clin North Am 2003, 83:789鈥?01.CrossRef
  Ji YJ, Peng WJ, Chang C, Ding JH, Zeng W, Chen M, Liu GY: Application of breast ultrasound in a mammography-based Chinese breast screening study. Cell Biochem Biophys 2013, 65:37鈥?1.CrossRef
  Lee SY, Jeong SH, Kim YN, Kim J, Kang DR, Kim HC, Nam CM: Cost-effective mammography screening in Korea: high incidence of breast cancer in young women. Cancer Sci 2009, 100:1105鈥?111.CrossRef
  Leong SP, Shen ZZ, Liu TJ, Agarwal G, Tajima T, Paik NS, Sandelin K, Derossis A, Cody H, Foulkes WD: Is breast cancer the same disease in Asian and Western countries? World J Surg 2010, 34:2308鈥?324.CrossRef
  Mushlin AI, Kouides RW, Shapiro DE: Estimating the accuracy of screening mammography: a meta-analysis. Am J Prev Med 1998, 14:143鈥?53.CrossRef
  Narod SA: Age of diagnosis, tumor size, and survival after breast cancer: implications for mammographic screening. Breast Cancer Res Treat 2011, 128:259鈥?66.CrossRef
  US Preventive Services Task Force: Screening for breast cancer: U.S. Preventive services task force recommendation statement. Ann Intern Med 2009, 151:716鈥?26. W-236CrossRef
  No authors listed: Breast cancer: old and new debates. Lancet 2011, 378:1758.
  Shanghai Municipal Center for Disease Control and Prevention: The report of shanghai center of disease control. Shanghai: The report of 2006 Shanghai malignant tumors; 2007:25鈥?9.
  Shanghai Municipal Center for Disease Control and Prevention: Cancer incidence, mortality and prevalence. Shanghai Cancer Report 2010 2010, 34.
  Shanghai Municipal Center for Disease Control and Prevention: Cancer incidence, mortality and prevalence. Shanghai Cancer Report 2011 2011, 26.
  Shetty MK: Screening and diagnosis of breast cancer in low-resource countries: what is state of the art? Semin Ultrasound CT MR 2011, 32:300鈥?05.CrossRef
  Shin HR, Boniol M, Joubert C, Hery C, Haukka J, Autier P, Nishino Y, Sobue T, Chen CJ, You SL, Ahn SH, Jung KW, Law SC, Mang O, Chia KS: Secular trends in breast cancer mortality in five East Asian populations: Hong Kong, Japan, Korea, Singapore and Taiwan. Cancer Sci 2010, 101:1241鈥?246.CrossRef
  Smith RA, Saslow D, Sawyer KA, Burke W, Costanza ME, Evans WP, Foster RS, Hendrick E, Eyre HJ, Sener S: American cancer society guidelines for breast cancer screening: update 2003. CA Cancer J Clin 2003, 53:141鈥?69.CrossRef
  Smith RA, Duffy SW, Tabar L: Breast cancer screening: the evolving evidence. Oncol (Williston Park) 2012, 26:471鈥?75. 479鈥?1, 485鈥?
  Tabar L, Fagerberg CJ, Gad A, Baldetorp L, Holmberg LH, Grontoft O, Ljungquist U, Lundstrom B, Manson JC, Eklund G, et al.: Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the breast cancer screening working group of the Swedish national board of health and welfare. Lancet 1985, 1:829鈥?32.CrossRef
  Tonelli M, Connor GS, Joffres M, Dickinson J, Singh H, Lewin G, Birtwhistle R, Fitzpatrick-Lewis D, Hodgson N, Ciliska D, Gauld M, Liu YY: Recommendations on screening for breast cancer in average-risk women aged 40鈥?4 years. CMAJ 2011, 183:1991鈥?001.
  Uchida K, Yamashita A, Kawase K, Kamiya K: Screening ultrasonography revealed 15% of mammographically occult breast cancers. Breast Cancer 2008, 15:165鈥?68.CrossRef
  Xiao Q, Liu GY, Zheng XJ, Wang XH, Liu Q, Jiang ZX, Xu LH, Peng WJ, Hu DT, Chang C, Shao ZM, Shen KW, Wang YF, Han C, Gu YJ: Imaging screening of breast cancer: primary results in 5307 cases. Chinese Journal of Radiology 2008,42(12):1266鈥?270.
  
• 作者单位：Miao Mo (7) (8)
  Guang-yu Liu (6) (7)
  Ying Zheng (7)
  Lian-fang Di (8)
  Ya-jie Ji (6) (7)
  Li-lang Lv (6) (7)
  Ying-yao Chen (8)
  Wei-jun Peng (6) (7)
  Jie-ru Zhu (8)
  Ping-ping Bao (7)
  Jian-hui Ding (6) (7)
  Cai Chang (6) (7)
  Jian-feng Luo (8)
  Zhi-gang Cao (6) (7)
  Wang-hong Xu (8)
  Zhi-min Shao (6) (7)
  
  7. Department of Cancer Prevention and Control, Shanghai Municipal Center for Disease Control and Prevention, 1380 Zhong Shan Xi Road, Shanghai, 200336, China
  8. Community Health Care Center of Qibao County, Minhang District, 94 Fu Qiang Road, Shanghai, 201101, China
  6. Department of Oncology, Shanghai Medical College, Fudan University, 270 Dong An Road, Shanghai, 200032, China
  
• 刊物类别：Science, general;
• 刊物主题：Science, general;
• 出版者：Springer International Publishing
• ISSN：2193-1801

文摘

To evaluate the screening performance of individual and combined use of clinical breast examination, ultrasonography and mammography in Chinese women, we conducted a biennial breast cancer screening program among 14,464 women aged 35 to 74 years old who lived in Qibao County, Minhang district of Shanghai, China, between May 2008 and Sept 2012. All participants were submitted to clinical breast examination, and then women with positive results and all women at age of 45-69 years old were preformed breast ultrasonography and mammography. The examination results were compared against pathological findings as the gold standard of reference. A total of 66 women were diagnosed with breast cancer in the two rounds of the screening, yielding an incident rate of 194 per 100,000 person-years. The sensitivity of clinical breast examination, ultrasonography and mammography alone were 61.4%, 53.7% and 67.3%, respectively. While mammography performed better in elder age groups and hormone receptor positive disease groups, ultrasonography had a higher sensitivity in younger age group and did not differ in sensitivity by estrogen receptor or progesterone receptor status. Combined use of the two imaging examinations increased the sensitivity in almost all age groups, but had a higher sensitivity in hormone receptor positive cancers than in those negative. Our results suggest that the Qibao modality is an effective strategy for breast cancer screening among Chinese women, especially for early detection of elder and hormone receptor positive breast cancer. Keywords Breast cancer screening Clinical breast examination Mammography Breast ultrasonography Sensitivity Specificity