Poster électronique

Evaluation des cancers d'intervalle du premier tour de dépistage du cancer du sein à l'Ariana
A. Salem, H. Jarraya, L. Kribi, S. Mehiri, F. Ben Amara, H. Rajhi, N. Mnif - Tunis - Tunisie
Congrès 2008
Résumé
Objectifs
Evaluer radiologiquement les cancers d'intervalle du premier tour de dépistage de masse organisé au gouvernorat d'Ariana.
Matériels et méthodes
Parmi les 8400 femmes ayant bénéficié d'un test de dépistage (premier tour) nous avons colligé 11 cas de patientes opérées pour un cancer du sein diagnostiqué dans les 24 mois suivant un test de dépistage négatif. Les circonstances de découverte étaient cliniques (écoulement mamelonnaire, masse) ou radiologiques (découverte fortuite en dehors du dépistage). La relecture à l'aveugle des clichés de dépistage, dans un premier temps, et rétrospective comparative aux clichés diagnostiques, dans un second temps, a permis d'aboutir à une classification radiologique de ces cancers.
Résultats
Ces cancers sont classés en 5 classes : vrai intervalle, faux négatif, signes non spécifiques, radiologiquement occultes et inclassables. Pour chaque classe sont étudiés le type d'anomalie radiologique et l'explication de la négativation du test de dépistage ainsi que les caractéristiques anatomopathologiques et les répercussions thérapeutiques. Dans un deuxième volet nous essayons d'identifier les améliorations pouvant être mises en place pour limiter leur survenue.
Conclusion
Les cancers d'intervalle existent dans toute campagne de dépistage. Ils ne font pas partie des critères d'évaluation d'une campagne mais leur évaluation est capitale pour minimiser leur survenue.
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2016-04-12 02.29 :
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2009-08-20 15.21 :
remy frey

interessant pour L2

2009-07-05 01.55 :
isabelle

quotidien, stimule

2009-01-22 23.26 :
catherine

intéressant

2009-01-07 19.50 :
chaabane

bon travail
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