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High Risk Breast Cancer Screening

High Risk Breast Cancer Screening - Expectations and challenges for ultrasound screening - Dence Brest found it difficult to detect cancer in mammography tests. So is ultrasound screening effective? In the Japan, we are currently in the process of a large-scale study of the world, "comparative testing to verify the effectiveness of ultrasound tests in breast cancer screening" (J-start). For about 70000 people, it has been verified how effective it is to add an ultrasound test to the mammography alone.
High Risk Breast Cancer Screening

"No conclusions have been made, but for now, in the person who added ultrasound, there is no one who has found cancer through visual palpation. High Risk Breast Cancer Screening - If the screening will be performed with mammography and ultrasound in the future, there will be no need for visual palpation to be done now, "Tozaki said.

There is already about three percent of municipalities that are incorporating ultrasound into the examination, but there is a difference depending on the region. If ultrasound is added to the mammography, of course, the detection rate of cancer increases because of the increase in information, but there is also the possibility of over-diagnosis, and the ultrasound test is important because it depends on the judgment of the person who performs the inspection, and the accuracy management is large. It is necessary to wait for verification whether it is really effective for all municipalities to use ultrasound for the breast cancer examination as a system.

High Risk Breast Cancer Screening

The new technology of mammography (tomosynthesis) - The technology of the mammography is progressing, too. It is said, "Breast tomosynthesis examination", and the mammography which can be seen three-dimensional by increasing the amount of information by shooting continuously appears. From the past, it is advantageous to obtain a clear image of the overlap of lesions and the mammary gland is small. Although there are overseas data that the cancer detection rate increases by this, the data in the Japanese have not been accumulated enough yet.
Related: Breast Cancer Screening Tests
To the age of "personalized checkup" according to the risk of each individual - There is a gene mutation related to breast cancer and ovarian cancer called "BRCA1/2", and there are several reports that MRI is effective for people with a high risk that are likely to develop at higher probabilities. The American Cancer Society recommends a one-time screening of mammography and MRI for high-risk people. However, in the Japan, there are few facilities that can perform the Mr. Guide under the biopsy necessary for the periodic observation of the high-risk person, and there is not enough system.

There are several ways to check for breast cancer, but each has its own advantages and disadvantages, and if a uniform screening is received, 100% of cancer can be discovered early. As the best cancer treatment varies by individual, the best way to check for yourself is different.

"High-risk people are mammography + MRI, Dence Brest people are mammography + ultrasound, other people are the only mammography, so I think it is desirable that the future will be individualized according to the risks of each screening" (Tozaki-san)

High Risk Breast Cancer Screening - Even if the recommended grade of mammography changes, at the individual level, it is not that you do not have to undergo a checkup. The rate of screening for the Japan is much lower than that of the western countries where the screening rates of 3-40% and 7-80% have been estimated. It seems to be able to take a step ahead in the current system, for instance, to add the ultrasound inspection as an option if the mammary gland is a lot of Dence Brest while continuing receiving the mammography examination. What should I do to find cancer early? Now, I want to calmly assess the best action I can make.