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유방암 검진 권고안 개정안

Other Titles
 The Korean guideline for breast cancer screening 
Authors
 이은혜  ;  박보영  ;  김남순  ;  서현주  ;  고경란  ;  민준원  ;  신명희  ;  이기헌  ;  이시연  ;  최나미  ;  허민희  ;  김동일  ;  김민정  ;  김성용  ;  선우성  ;  당지연  ;  김수영  ;  김열  ;  이원철  ;  정준 
Citation
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION , Vol.58(5) : 408-419, 2015 
Journal Title
 JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 
ISSN
 1975-8456 
Issue Date
2015
Keywords
Breast neoplasms ; Mass screening ; Guideline ; Mammography
Abstract
Breast cancer is the second most common malignancy among Korean women. The 2002 National Cancer Center screening guideline breast cancer was revised via an evidence-based approach to provide medical personnel with a standard protocol of screening breast cancer. There is moderate-level evidence that biennial screening mammography in asymptomatic women aged 40 to 69 reduces breast cancer mortality, while low-level evidence suggests that screening mammography in women 70 years or older does not reduce breast cancer mortality. The committee concluded that the current evidence is insufficient to assess the benefits and harms of either ultrasonography or clinical breast examination as screening modalities for breast cancer. Future researches about the benefits and harms of the National Breast Cancer Screening Program in Korea are strongly required because the characteristics of breast cancer in Korea are different from those in the West, especially regarding dense breast. In conclusion, the committee recommends biennial screening mammography in asymptomatic women aged 40 to 69 years (grade B recommendation). The committee recommends selective screening mammography in women 70 years or older according to individual risk and preference (grade C recommendation). The committee neither recommends nor opposes ultrasonography and clinical breast examination as screening modalities (grade I recommendation). Symptomatic and high-risk women, however, should be offered complementary measures including ultrasonography and clinical breast examination under clinical supervision.
Files in This Item:
T201501622.pdf Download
DOI
10.5124/jkma.2015.58.5.408
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Jeong, Joon(정준) ORCID logo https://orcid.org/0000-0003-0397-0005
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140224
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