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Breast Cancer Screening: General Guidelines, Program Design, and Organization

  • Chapter
Radiological Diagnosis of Breast Diseases

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 328 Accesses

Abstract

Screening for cancer has been and remains the subject of worldwide study, analysis, and scrutiny. The philosophy — which is based upon early detection, diagnosis, and treatment — of interrupting the spread of disease before it becomes advanced carries with it broad implications for society. For diseases such as cervical and breast cancer, primary prevention cannot be applied, since the causes are not known, and, in the case of breast cancer, it is very likely that there are multiple causes. For these malignancies, screening tests are applied to improve survival and achieve mortality reduction. Breast cancer is considered suitable for screening because of (a) the potential for serious morbidity and high mortality, (b) the fact that there is a detectable preclinical phase, (c) the established effectiveness of early treatment, and (d) the high prevalence among the screened population. From a practical point of view, however, breast cancer screening requires the examination of large numbers of healthy women in order to designate for more thorough assessment the small proportion that will likely be diagnosed with breast cancer Richert-Boe and Humphrey 1992). It is understandable, there­fore, because of the economic consequences of such wide-scale screening and the physical implications of the screening and diagnostic tests, that there should be intensive scrutiny both of the test itself and of its effect on the population.

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Authors and Affiliations

  1. Screening Mammography Program of British Columbia, Suite #414, 750 West Broadway, Vancouver, BC, V5Z 1H3, Canada

    L. J. Warren Burhenne MD (Executive Director)

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  1. L. J. Warren Burhenne MD
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Editors and Affiliations

  1. Abteilung für Radiologie und Nuklearmedizin, Krankenhaus Am Urban, Dieffenbachstraße 1, 10967, Berlin, Germany

    Michael Friedrich MD (Professor) (Professor)

  2. Department of Radiology, University of California Medical Center, Box 1667, San Francisco, CA, 94143-1667, USA

    Edward A. Sickles MD (Professor) (Professor)

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© 2000 Springer-Verlag Berlin · Heidelberg

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Burhenne, L.J.W. (2000). Breast Cancer Screening: General Guidelines, Program Design, and Organization. In: Friedrich, M., Sickles, E.A. (eds) Radiological Diagnosis of Breast Diseases. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60919-0_20

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  • DOI: https://doi.org/10.1007/978-3-642-60919-0_20

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  • Print ISBN: 978-3-540-66339-3

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