By Adel Gad, Marco Rosselli Del Turco
As managed trials have tested that during many eu nations breast melanoma mortality could be diminished by way of population-based mammographic screening of ladies over the age of fifty, there's mounting strain to introduce new carrier screening programmes. How should still those programmes be deliberate and monitored ? Is it low-priced ? We invited specialists whowork with the imperative screening programmes in Europe to respond to those questions and to explain their reviews. Particualr consciousness has been given to making plans, supplier and tracking new screening programmes with the intention to in achieving optimum results.
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Extra info for Breast Cancer Screening in Europe
Option I: Swedish Two-Counties Women are recalled to the primary screening unit where 3-view mammography is carried out. Films are subsequently read centrally 38 SA Thomas Table 2. , Swedish Two-Counties J, If? Recall for a 3-view mammography at the site of primary screen J, If still ? , the UK J, If? J, If? , second stage screen for full evaluation at a specialist centre Advice to the woman's own doctor to arrange hospital referral to a specialist of the doctor's choice J, If cancer or still ?
During this period the key staff already appointed will be deciding upon the appropriate Programme Organisation in Breast Cancer Screening training courses for new staff and making arrangements for them to attend. Training is required not only for the staff who wi" be involved with the primary screening procedure but also for those who wi" deal with the evaluation of women with screen-detected abnormalities. Liaison should be made with those likely to be treating the women from the screening programme, and again further training may be appropriate.
Apart from a working knowledge of the procedures to be followed during the screening programme, specific training outside the unit wi" be required for the staff listed below. Medical Staff Radiologists or other doctors reading screening mammograms wi" require specific training in this field. It should be pOinted out that knowledge of clinical mammography does not provide the appropriate training for the interpretation of screening mammograms. Diagnostic decision-making from films of the symptomatic woman, who commonly has a mass immediately apparent on the mammogram, is quite different from the viewing of 1000 sets of films of breasts with an infinite variety where perhaps 5 among that number may have a malignancy.