유방암 조기검진의 한계
Risks and Benefits of Breast Cancer Screening
유근영, 윤하정, 신애선, 신해림,
소속 상세정보
유근영 ( Yoo Keun-Young )
서울대학교 의과대학 예방의학교실
윤하정 ( Yoon Ha-Chung )
서울대학교 의과대학 예방의학교실
신애선 ( Shin Ae-Sun )
서울대학교 의과대학 예방의학교실
신해림 ( Shin Hai-Rim )
국립암센터
KMID : 0603520010060030131
Abstract
The National Cancer Registry in Korea indicates that breast cancer ranks in third place to uterine cervix cancer and stomach cancer as a cause of death in women, as well as being a common site of primary cancer. There is an increasing trend in mortality and morbidity for breast cancer in Korea. Breast cancer screening uses mammography, clinical breast examination and breast self-examination for early detection of cancer. The benefits of screening consist of a decreasing mortality of breast cancer, more using conservative surgical procedures and reassurance. Its associated risks are doubtful effectiveness, relative high false positive and false negative results of screening methods, over-treatment, radiation-induced breast cancer from early expose to mammography and associated psychological problems arising from the diagnosis. Early diagnosis guidelines based on their own data were introduced in the US and Japan. A screening strategy that is based on Korean epidemiologic data of breast cancer needs to be established.
키워드
Breast neoplasms; Mass screening; Risk factors; Epidemiology; Mammography; Breast self-examination
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