Dados do Trabalho

Título

ANALISE DA EFETIVIDADE DO RASTREIO MAMOGRAFICO EM UMA CAMPANHA DO OUTUBRO ROSA

Título em Inglês

ANALYSIS OF THE EFFECTIVENESS OF MAMMOGRAPHIC SCREENING IN A PINK OCTOBER CAMPAING

Introdução

The month of October was chosen to raise the population's awareness of breast cancer, with strategic actions being taken in order to optimize the early diagnosis of malignant breast lesions, as well as their treatment.
The city of Caxias do Sul annually promotes an health action on a Saturday in October, known as the Pink October Campaign. The analyzed campaign it was made on the first Saturday of October 2017, with the operation of all Basic Health Units (UBS), and according to recommendations of the Brazilian Society of Mastology, offering mammographic evaluation and screening for women over 40 years old.

Objetivos

To identify the number of diagnoses of malignant neoplasm in women who underwent screening mammography in a municipal campaign, the number of examinations performed in the campaign and the prevalence of the BI-RADS 4 and BI-RADS 5 categories.

Métodos

Observational, descriptive, and retrospective study.All patients who had mammograms requested in the Pink October campaign were identified. The BI-RADS 4 and 5 cases on mammography, or after the completion of a complementary ultrasound for presenting BI-RADS 0 on the initial mammography, were referred to a reference service, performed a biopsy with a posterior segment.

Resultados

Were made 1220 mammograms. In the BI-RADS 4 category, 9 patients were identified (0.73%); all had biopsies performed, and 3 patients confirmed carcinoma: where 2 patients with invasive carcinoma and 1 case of carcinoma in situ. There were 2 cases of BI-RADS 5 mammograms (0.16%), and both had pathological confirmation of malignancy through biopsy. The prevalence of BI-RADS 4 and 5 in this population was 0.73% and 0.16%, respectively. There were 126 BI-RADS 0 mammograms (10.33%), making it possible to perform 90 complementary breast ultrasound exams. Four cases were classified as BI-RADS 4, with a negative biopsy for malignancy, and one case of BI-RADS 5, with a diagnosis of invasive lobular carcinoma.

Conclusões

The Pink October Campaign held in 2017 in Caxias do Sul provided the diagnosis of 6 cases of breast malignancy in women between 43 and 65 years old, one of them still in the non-invasive stage (carcinoma in situ), representing 0.49% of the population tracked in the campaign.

Palavras Chave

Breast Cancer, Screening, Mammograms

Área

DETECTION / DIAGNOSIS - Breast lesion