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Il Giornale Italiano di Radiologia Medica 2018 Luglio-Agosto;5(4):515-8

DOI: 10.23736/S2283-8376.18.00109-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Screening for Breast Cancer at Caserta LHA: results of the new protocol for years 2015-2016 at Department of Diagnostic Senology of Marcianise

Daniele U. TARI 1 , Mario IGNOZZI 2, Antonio DI CERBO 1, Fabio PINTO 3

1 U.O. Diagnostica Senologica, P.O. Marcianise, A.S.L. Caserta, Caserta, Italia; 2 Servizio Controllo di Gestione e Sistema Informativo, A.S.L. Caserta, Caserta, Italia; 3 U.O.C. Radiologia, P.O. Marcianise, A.S.L. Caserta, Caserta, Italia


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BACKGROUND: In a social background of lack of knowledge about the importance of early diagnosis, Caserta LHA has developed a new screening protocol for breast cancer. We report our experience and the results of the first two years of activity at the Department of Diagnostic Senology, Marcianise, Caserta, Italy.
METHODS: The study included 10,747 women aged 45-69 (average age: 55), selected through the Sani.ARP portal and invited via letter/call center. After recording the clinical history, a digital mammography in double projection was performed. The images were examined in double reading by two screening radiologists. In discordant cases, a third radiologist was consulted. Patients with doubtful/positive mammograms were recalled to perform second-level examinations.
RESULTS: We examined 10,747 out of a target population of 37,708 women. The adherence rate was 28.5%. 5.2% of the examined patients was recalled to perform a total amount of 556 second level investigations (166 US-FNAC). We identified 134 cancers, 46 (34.3%) in women aged 45-49 and 88 (65.7%) in women aged 50-69. The Detection Rate was 12.5‰ with a benign/malignant ratio of 0.06.
CONCLUSIONS: The adherence rate obtained in our Department in the years 2015-2016 and our performance results in agreement with national guidelines of GISMa confirm the effectiveness of our screening protocol. Although the adherence rate is still lower than the desirable average of 60%, it is still significantly higher than the adherence rate of the previous years. A further effort to the growth of the program will be given by the implementation of the Department of Breast Surgery.


KEY WORDS: Mass screening - Mammography - Breast neoplasms

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