Skip to main content
PMC home page
British Journal of Cancer logoLink to British Journal of Cancer
. 1996 Mar;73(6):837–842. doi: 10.1038/bjc.1996.147

The South Australian Breast X-Ray Service: results from a statewide mammographic screening programme.

J I Robinson 1, C E Crane 1, J M King 1, D I Scarce 1, C E Hoffmann 1
PMCID: PMC2074372  PMID: 8611391

Abstract

The South Australian Breast X-Ray Service is a centralised breast cancer screening programme in the State of South Australia. In its first 5 years of operation nearly 100 000 screens were performed. This study reports the clinical performance of the programme and compares it with other published series. Women aged 40 years and over were screened with two-view mammography every 2 years. Radiologists double-read the screening films and multidisciplinary teams assessed the recalled women at a single centre. In the prevalent round 76 106 women were screened, and subsequently 21 506 of them were rescreened. The recall rate for further investigation was 4.9% in the prevalent round and 2.4% in the incident rounds. The cancer detection rate per 1000 women was 7.0 in the prevalent screening round and 3.4 in the incident rounds. Forty-two per cent of invasive carcinomas measured < or = 10 mm in the prevalent screening round and the median tumour size was 12 mm. The benign to malignant biopsy ratio was 1:1.4 in the prevalent round and 1:2.8 in the incident rounds. In the prevalent round 77% of invasive tumours were lymph node negative and this proportion increased to 86% in the incident rounds.

Full text

PDF
842

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Collette H. J., Day N. E., Rombach J. J., de Waard F. Evaluation of screening for breast cancer in a non-randomised study (the DOM project) by means of a case-control study. Lancet. 1984 Jun 2;1(8388):1224–1226. doi: 10.1016/s0140-6736(84)91704-5. [DOI] [PubMed] [Google Scholar]
  2. Dorsch M. M., Cheok F., Ingham H. M. The effectiveness of invitations from general practitioners in recruiting women to mammographic screening. Med J Aust. 1991 Nov 4;155(9):623–625. doi: 10.5694/j.1326-5377.1991.tb93932.x. [DOI] [PubMed] [Google Scholar]
  3. Fletcher S. W., Black W., Harris R., Rimer B. K., Shapiro S. Report of the International Workshop on Screening for Breast Cancer. J Natl Cancer Inst. 1993 Oct 20;85(20):1644–1656. doi: 10.1093/jnci/85.20.1644. [DOI] [PubMed] [Google Scholar]
  4. Frisell J., Eklund G., Hellström L., Somell A. Analysis of interval breast carcinomas in a randomized screening trial in Stockholm. Breast Cancer Res Treat. 1987;9(3):219–225. doi: 10.1007/BF01806383. [DOI] [PubMed] [Google Scholar]
  5. Harrison R. I., Glenn D. C., Niesche F. W., Patrick W. G., Ramsey-Stewart G., Renwick S. B., Rickard M. T., West R. H. Surgical management of breast cancer. Experience of the Central Sydney Area Health Service Breast X-ray Programme, 1988-1991. Med J Aust. 1994 May 16;160(10):617–620. [PubMed] [Google Scholar]
  6. Langlois S. L., Carter M. L. Carbon localisation of impalpable mammographic abnormalities. Australas Radiol. 1991 Aug;35(3):237–241. doi: 10.1111/j.1440-1673.1991.tb03015.x. [DOI] [PubMed] [Google Scholar]
  7. Lidbrink E. K., Törnberg S. A., Azavedo E. M., Frisell J. O., Hjalmar M. L., Leifland K. S., Sahlstedt T. B., Skoog L. The general mammography screening program in Stockholm. Organisation and first-round results. Acta Oncol. 1994;33(4):353–358. doi: 10.3109/02841869409098428. [DOI] [PubMed] [Google Scholar]
  8. Morrison A. S., Brisson J., Khalid N. Breast cancer incidence and mortality in the breast cancer detection demonstration project [published errtum appears in J Natl Cancer Inst 1989 Oct 4;81(19):1513]. J Natl Cancer Inst. 1988 Dec 7;80(19):1540–1547. doi: 10.1093/jnci/80.19.1540. [DOI] [PubMed] [Google Scholar]
  9. Nyström L., Rutqvist L. E., Wall S., Lindgren A., Lindqvist M., Rydén S., Andersson I., Bjurstam N., Fagerberg G., Frisell J. Breast cancer screening with mammography: overview of Swedish randomised trials. Lancet. 1993 Apr 17;341(8851):973–978. doi: 10.1016/0140-6736(93)91067-v. [DOI] [PubMed] [Google Scholar]
  10. Palli D., Rosselli del Turco M., Buiatti E., Ciatto S., Crocetti E., Paci E. Time interval since last test in a breast cancer screening programme: a case-control study in Italy. J Epidemiol Community Health. 1989 Sep;43(3):241–248. doi: 10.1136/jech.43.3.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Rickard M. T., Lee W., Read J. W., Scott A. J., Stephen D. D., Grace J. Breast cancer diagnosis by screening mammography: early results of the Central Sydney Area Health Service Breast X-ray Programme. Med J Aust. 1991 Jan 21;154(2):126–131. doi: 10.5694/j.1326-5377.1991.tb121000.x. [DOI] [PubMed] [Google Scholar]
  12. Roberts M. M., Alexander F. E., Anderson T. J., Chetty U., Donnan P. T., Forrest P., Hepburn W., Huggins A., Kirkpatrick A. E., Lamb J. Edinburgh trial of screening for breast cancer: mortality at seven years. Lancet. 1990 Feb 3;335(8684):241–246. doi: 10.1016/0140-6736(90)90066-e. [DOI] [PubMed] [Google Scholar]
  13. Shapiro S., Strax P., Venet L. Periodic breast cancer screening in reducing mortality from breast cancer. JAMA. 1971 Mar 15;215(11):1777–1785. [PubMed] [Google Scholar]
  14. Sickles E. A., Ominsky S. H., Sollitto R. A., Galvin H. B., Monticciolo D. L. Medical audit of a rapid-throughput mammography screening practice: methodology and results of 27,114 examinations. Radiology. 1990 May;175(2):323–327. doi: 10.1148/radiology.175.2.2326455. [DOI] [PubMed] [Google Scholar]
  15. Tabar L., Fagerberg G., Duffy S. W., Day N. E. The Swedish two county trial of mammographic screening for breast cancer: recent results and calculation of benefit. J Epidemiol Community Health. 1989 Jun;43(2):107–114. doi: 10.1136/jech.43.2.107. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Tabàr L., Fagerberg G., Duffy S. W., Day N. E., Gad A., Gröntoft O. Update of the Swedish two-county program of mammographic screening for breast cancer. Radiol Clin North Am. 1992 Jan;30(1):187–210. [PubMed] [Google Scholar]
  17. Tabár L., Akerlund E., Gad A. Five-year experience with single-view mammography randomized controlled screening in Sweden. Recent Results Cancer Res. 1984;90:105–113. doi: 10.1007/978-3-642-82031-1_14. [DOI] [PubMed] [Google Scholar]
  18. Tabár L., Faberberg G., Day N. E., Holmberg L. What is the optimum interval between mammographic screening examinations? An analysis based on the latest results of the Swedish two-county breast cancer screening trial. Br J Cancer. 1987 May;55(5):547–551. doi: 10.1038/bjc.1987.112. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Tabár L., Fagerberg C. J., Gad A., Baldetorp L., Holmberg L. H., Gröntoft O., Ljungquist U., Lundström B., Månson J. C., Eklund G. Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet. 1985 Apr 13;1(8433):829–832. doi: 10.1016/s0140-6736(85)92204-4. [DOI] [PubMed] [Google Scholar]
  20. Thurfjell E. L., Lindgren J. A. Population-based mammography screening in Swedish clinical practice: prevalence and incidence screening in Uppsala County. Radiology. 1994 Nov;193(2):351–357. doi: 10.1148/radiology.193.2.7972742. [DOI] [PubMed] [Google Scholar]
  21. Wald N. J., Chamberlain J., Hackshaw A. European Society of Mastology Consensus Conference on breast cancer screening: report of the evaluation committee. Br J Radiol. 1994 Oct;67(802):925–933. doi: 10.1259/0007-1285-67-802-925. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES