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[Breast cancer screening: current status and introduction as a preventive service]
D von Fournier1, H W Anton, H Junkermann
1Abteilung Allgemeine Gynäkologie und Geburtshilfe, Universität Heidelberg.
Abstract:
1. Screening intervals according to Tabar: 1 year in women younger than 50 in order to minimize "interval cancers". 2 years in women older than 50 years. 2. Mammographic views according to Lundgren et al: 2 views at first round 1 oblique view in the following rounds, yearly. All women on risk should attend screening. The identification of useful "high risk groups" is not established. Palpation is recommended at each screening. Self-examination is recommended. Adjuvant therapy should not depend on lymph node status in screening-cancer cases. It should depend on clinical and histological "prognostic factors".