Breast cancer detection: experience in a suburban community
Article Abstract:
Long-term survival of women with breast cancer, the most common type of cancer in women, can be improved if the disease is diagnosed and treated early. Mammography is a breast X-ray that detects breast lumps before they can be felt. It takes an average of 10 years for a tumor to become one centimeter (0.39 inches) in size, and tumors smaller than one centimeter cannot be felt during routine breast examinations. Therefore, mammography can help improve survival by detecting cancers not yet detectable by clinical breast examinations. To see if a community breast cancer screening project is effective, the results of 669 breast biopsies performed during 1987 and 1988 were reviewed. The presence of a lump, skin thickening or nipple discharge (clinical indications of a possible tumor) were the reasons for doing 328 of the 669 biopsies. There were also 341 biopsies (51 percent) that were performed based on an abnormal mammography result. A total of 151 breast cancers were diagnosed out of the group of 669 biopsies; of these cancers, 68 percent were first identified by clinical symptoms and 32 percent were found because of mammography. Despite the obvious benefits afforded by routine mammography, more than 60 percent of women over age 50 years have never had a mammogram. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1990
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Ureteral injury in gynecologic surgery: a ten-year review in a community hospital
Article Abstract:
Injuries to the ureter may be a consequence of gynecologic surgery. Researchers conducted a review of 4665 gynecologic surgeries over a 10 year period and found 19 cases where the ureter was injured, a rate of 0.4%. Injuries were recognized and repaired during surgery in 10 patients, but in nine patients diagnosis of injury was delayed from one to 16 days after surgery. Vaginal hysterectomies produced 26% of the injuries. Four patients experienced injuries to the ureter during surgery of the Fallopian tubes and ovaries. Injury to the ureter may be prevented by dissecting out the ureter to see it better during surgery, appropriate clamping, avoiding wide suturing, and moving the bladder out of the way.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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Women's primary care providers and breast cancer screening: Who's following the guidelines?
Article Abstract:
An examination of 472 patient records was done to compare screening practices across provider specialty and training degree types, using a retrospective cohort design, as screening mammography for women in the age group of 50 to 69 years. The result showed that among specialists, gynecologists follow breast cancer screening guidelines and across training degree types, mid-level providers adhere to guidelines.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2006
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