Diagnostic and Interventional Radiology
Breast Imaging - Original Article

Radiologic findings of screen-detected cancers in an organized population-based screening mammography program in Turkey

1.

Department of Radiology, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey

2.

Department of Radiology, Marmara University School of Medicine, İstanbul, Turkey

3.

Clinic of Radiology, Şişli Hamiye Etfal Training and Research Hospital, İstanbul Turkey

4.

Bahçeşehir Breast Cancer Screening Center, İstanbul, Turkey

5.

Department of Surgey, Namık Kemal University School of Medicine, Tekirdağ, Turkey

6.

Department of Radiology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey

7.

Department of Radiology, Kartal Lütfi Kırdar Training and Research Hospital, İstanbul, Turkey

8.

Department of Public Health, Marmara University School of Medicine, İstanbul, Turkey

9.

Department of Surgery, İstanbul University School of Medicine, İstanbul, Turkey

Diagn Interv Radiol 2016; 22: 508-513
DOI: 10.5152/dir.2016.15250
Read: 363 Downloads: 742 Published: 03 September 2019

Abstract

PURPOSE: Bahçeşehir Breast Cancer Screening Program is a population based organized screening program in Turkey, where asymptomatic women aged 40–69 years are screened biannually. In this prospective study, we aimed to determine the mammographic findings of screen-detected cancers and discuss the efficacy of breast cancer screening in a developing country.

 

METHODS: A total of 6912 women were screened in three rounds. The radiologic findings were grouped as mass, focal asymmetry, calcification, and architectural distortion. Masses were classified according to shape, border, and density. Calcifications were grouped according to morphology and distribution. Cancers were grouped according to the clinical stage.

 

RESULTS: Seventy cancers were detected with an incidence of 4.8/1000. Two cancers were detected in other centers and three were not visualized mammographically. Mammographic presentations of the remaining 65 cancers were mass (47.7%, n=31), calcification (30.8%, n=20), focal asymmetry (16.9%, n=11), architectural distortion (3.1%, n=2), and skin thickening (1.5%, n=1). The numbers of stage 0, 1, 2, 3, and 4 cancers were 13 (20.0%), 34 (52.3%), 14 (21.5%), 3 (4.6%), and 1 (1.5%), respectively. The numbers of interval and missed cancers were 5 (7.4%) and 7 (10.3%), respectively.

 

CONCLUSION: A high incidence of early breast cancer has been detected. The incidence of missed and interval cancers did not show major differences from western screening trials. We believe that this study will pioneer implementation of efficient population-based mammographic screenings in developing countries.

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EISSN 1305-3612