Discussion of breast cancer screening model in China / 中华流行病学杂志

ABSTRACT

Cancer screening has been considered as double-edged sword with both advantages and disadvantages.For decades,there have been strong interests in screening strategies for the early detection of cancers to reduce the mortality,especially breast X-ray (mammography) screening.However,several evidences also suggested that the benefit of reduction of breast-cancer mortality with mammography might become a problem due to the repeat mammography,subsequent biopsies,and overdiagnosis.And different screening strategies with different models,different intervals,and different target populations also incurred debates.After systematical analysis and discussion,we suggested to focus on high-risk population,improve the accuracy of screening technique,conduct the informed consent of participants,and explore individual screening mode in the screening of breast cancer.