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Related Experiment Videos

Breast cancer screening.

M J Michell1

  • 1South East London Breast Screening Programme, King's College Hospital, London SE5 9RS, UK.

International Journal of Clinical Practice
|November 7, 2001
PubMed
Summary
This summary is machine-generated.

Mammographic screening significantly lowers breast cancer deaths in women over 50. The National Health Service Breast Screening Programme (NHSBSP) uses a triple assessment approach for accurate diagnosis and management.

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Area of Science:

  • Oncology
  • Radiology
  • Public Health

Background:

  • Mammographic screening is proven to reduce breast cancer mortality by 24% in women aged 50 and older.
  • The National Health Service Breast Screening Programme (NHSBSP) invites women aged 50-53 for their first screening, with subsequent screenings every three years until age 64.

Purpose of the Study:

  • To outline the diagnostic process within the NHSBSP for women undergoing mammographic screening.
  • To describe the triple assessment method used for evaluating abnormal screening mammograms.

Main Methods:

  • The study details the National Health Service Breast Screening Programme (NHSBSP) screening protocol, including two-view mammography for initial screens and one-view for subsequent screens.
  • Abnormal screening mammograms are assessed by a specialist multidisciplinary team using a triple approach: clinical examination, imaging (including paddle compression and magnification views), and needle biopsy when indicated.

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  • Management decisions are based on the combined results of the triple assessment.

    • Main Results:

    • The triple assessment aims to categorize abnormalities into four outcomes: benign/normal, confirmed breast cancer, suspicious requiring surgical excision, or diagnostic uncertainty requiring early recall.
    • This systematic approach ensures comprehensive evaluation of mammographic findings.

    Conclusions:

    • The NHSBSP employs a rigorous triple assessment protocol for the accurate diagnosis and management of potential breast cancer cases identified through mammographic screening.
    • This structured evaluation process is crucial for determining appropriate patient management and improving breast cancer outcomes.