ABC of Breast Diseases, 3rd edition (ABC Series) by J. Michael Dixon

By J. Michael Dixon

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Extra info for ABC of Breast Diseases, 3rd edition (ABC Series)

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For women over 60 an interval of three years seems to be effective. For women aged 50–60, the ideal screening interval is probably between two and three years. If screening is offered to women aged Ͻ50, it should be annual. Screening mammogram (left) showing a small cluster of suspicious microcalcifications, (left middle) core biopsy specimen radiograph showing satisfactory sampling, (right middle) histology showing comedo DCIS, and (right) the excised specimen radiograph showing complete excision of this small focus of DCIS Screening method There is clear evidence that two mammographic views of each breast (mediolateral oblique and craniocaudal) significantly improve both sensitivity, particularly for small breast cancers, and specificity.

In the United Kingdom screening is by invitation from age 50 to 70 inclusive. 22 Frequency of screening In the United Kingdom the interval between mammographic screens was selected from evidence from the Swedish two counties study and is every three years. A UKCCCR trial comparing annual with standard triennial mammographic screens has shown a small and insignificant advantage for annual screening of women. Screening needs to be shorter than the mean sojourn time for age. For women over 60 an interval of three years seems to be effective.

Br J Surg 1985;72:844–5. ● Dixon JM. Repeated aspiration of breast abscesses in lactating women. Br Med J 1988;297:1517–18. ● Dixon JM, RaviSekar O, Chetty O, Anderson TJ. Periductal mastitis and duct ectasia: different conditions with different aetiologies. Br J Surg 1996;83:820–22. ● Hughes LE, Mansel RE, Webster DJT. Benign disorders and diseases of the breast: concepts and clinical management. 2nd ed. London: Saunders, 2000. ● Dixon JM, Bundred NJ. Management of disorders of the ductal system.

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