[Prophylactic medical examinations for breast cancer at the Oncology Center of Bydgoszcz in the years 2001-2003]

Abstract

Objectives: Kujawsko-pomorskie province is a region with high morbidity and mortality from breast cancer. One of the method of improving this situation is to perform prophylactic medical examinations aiming to find out the most advanced forms possible.

Design: The aim of the study was to estimate the results of prophylactic medical examinations for breast cancer that took place in Center of Oncology in Bydgoszcz between 2001-2003.

Materials and methods: Prophylactic examinations (mammography) for breast cancer were taken in 3 medical centers. First one so called "mobile" was localized in chosen health service centre, second one in the bus with the mammography reaching distant areas and third one was performing examinations locally. Mammographic examinations were rated with BI-RADS system. There were 63,401 women examined for breast cancer (age 35-79). 19,221 medical examinations were performed by "mobile" device, 16,488 in mammobus and 27,692 locally. Population of women from kujawsko-pomorskie province was 39,0936 persons. Number of detected breast cancers, their sizes and methods of treatment were analysed.

Results: Mammography was performed by 16.22% population of women from kujawsko-pomorskie province. The biggest group of patients were women at the age of 50-54 years, and of 45-49 years. 288 cases of breast cancer were discovered (0.45% of examined population). Twelve out of them (4.16%) were non-invasive carcinoma and 153 (53.4%) was smaller than 2 cm. 46 (16.6%) out of 276 detected invasive cancers were treatment by breast conserving treatment, 210 (76.1%) by mastectomy, 11 (14%) by chemo-, radio- and hormonotherapy.

Conclusions: (1) Prophylactic medical examinations let detect cancer in early state of development. (2) Detection of carcinomas smaller than 2 cm allowed to increase the number of breast conserving treatment (BCT).