The first results of a pilot mammoscreening project for the early detection of breast cancer in the Kaluga region

Aim. To increase an effectiveness of early diagnosis of breast cancer under mass mammography examination of the female population. Materials and methods. The study included several stages: creation and practical application of a mobile mammography complex; training of doctors and nurses in a standard mammography examination technique; quality control of mammography examination; elaboration of cloud storage and a computer database for recording patients’ archive; informational media support of a mass mammography examination of the female population; conducting a mass mammography examination of a female population aged over 40. Results. During 8 months of 2018, 17 557 women were examined at mobile mammography complexes. An analysis of X-ray findings in cases of verified breast cancer showed that in his daily practice the radiologist may encounter a variety of radiological criteria indicating malignant changes in the breast tissue. Nodular formations were the most common radiological findings in the examined patients - 54 (69.2%) cases. The second most frequent sign of breast cancer was malignant microcalcifications, which were found in 13 (16.7%) cases. Other signs (stellate disorders of breast tissue architectonics and a focus of density asymmetry) breast cancer were less common - 11 (14.1%) cases. Nodular formations less than 1 cm in size were detected in 33 (42.3%) cases. Conclusions. In order to effectively solve the problem of breast cancer screening, it is necessary to develop a unified state standard for screening and early diagnosis, which will subsequently provide adequate organ-preserving treatment, high quality medical care and an increase in life expectancy.

screening breast cancer a mammography, BI-RADS, quality control mammography