Epidemiologija raka dojk in presejanje = Breast cancer epidemiology and screening
Primic-Žakelj, Maja ; Pompe-Kirn, Vera
Breast is the most frequent cancer site in Slovenia female population. In the year 1995 there were 784 new breast cancer cases registered (76.7/100.000), the incidence is expected to increase in the ...next ten years. The percentage ofcases diagnosed with localised disease is increasing; in the year 1995 it was 44%. Despite the increasing survival (67% relative survival of patients diagnosed in the years 1988-92), breast cancer is the leading cause of cancer-related cause of death in females. Besides age and sex, the establishshed breast cancer risk factors include certain benign breast diseases, family history, ionising radiation, some reproductive factors and obesity. Primary prevention includes general recommendations for healthy life style, e.g. avoidance of obesity, diet, physical activity and moderate alcoholconsumption. Regular screening of women over 50 by mammography with or without clinical examination is supposed to reduce mortality among them for about 30%. Population screening is generally recommended for women aged 50 andover. Breast cancer could be achieved only by combined efforts directed onto primary prevention and early detection, as well as by improving availability of effective treatment, and make investments where they prove most cost-effective.
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