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Article: Recommendations on prevention and screening for breast cancer in Hong Kong

TitleRecommendations on prevention and screening for breast cancer in Hong Kong
Authors
KeywordsBreast neoplasms/prevention & control
Hong Kong
Mass screening
Risk factors
Issue Date2018
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkmj.org/
Citation
Hong Kong Medical Journal, 2018, v. 24 n. 3, p. 298-306 How to Cite?
AbstractIn Hong Kong, breast cancer is the most common cancer among women and poses a significant health care burden. The Cancer Expert Working Group on Cancer Prevention and Screening (CEWG) was set up in 2002 by the Cancer Coordinating Committee to review and assess local and international scientific evidence, and to formulate recommendations for cancer prevention and screening. After considering the local epidemiology, emerging scientific evidence, and local and overseas screening practices, the CEWG concluded that it was unclear whether population-based breast cancer screening did more harm than good in local asymptomatic women at average risk. The CEWG considers that there is insufficient evidence to recommend for or against population-based mammography screening for such individuals. Women who consider breast cancer screening should be adequately informed about the benefits and harms. The CEWG recommends that all women adopt primary preventive measures, be breast aware, and seek timely medical attention for suspicious symptoms. For women at high risk of breast cancer, such as carriers of confirmed BRCA1/2 deleterious mutations and those with a family history of breast cancer, the CEWG recommends that they seek doctor's advice for annual mammography screening and the age at which the process should commence. Additional annual screening by magnetic resonance imaging is recommended for confirmed BRCA1/2 mutation carriers or women who have undergone radiation therapy to the chest between the age of 10 and 30 years. Women at moderate risk of breast cancer should discuss with doctors the pros and cons of breast cancer screening before making an informed decision about mammography screening every 2 to 3 years.
Persistent Identifierhttp://hdl.handle.net/10722/258331
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorLam, TH-
dc.contributor.authorWong, KH-
dc.contributor.authorChan, KKL-
dc.contributor.authorChan, MCM-
dc.contributor.authorChao, DVK-
dc.contributor.authorCheung, ANY-
dc.contributor.authorFan, CYM-
dc.contributor.authorHo, J-
dc.contributor.authorHui, EP-
dc.contributor.authorLaw, KO-
dc.contributor.authorLaw, CK-
dc.contributor.authorLaw, WL-
dc.contributor.authorLoong, HHF-
dc.contributor.authorNgan, KCR-
dc.contributor.authorTsang, THF-
dc.contributor.authorWong, MCS-
dc.contributor.authorYeung, RMW-
dc.contributor.authorYing, ACH-
dc.contributor.authorChing, R-
dc.date.accessioned2018-08-22T01:36:46Z-
dc.date.available2018-08-22T01:36:46Z-
dc.date.issued2018-
dc.identifier.citationHong Kong Medical Journal, 2018, v. 24 n. 3, p. 298-306-
dc.identifier.issn1024-2708-
dc.identifier.urihttp://hdl.handle.net/10722/258331-
dc.description.abstractIn Hong Kong, breast cancer is the most common cancer among women and poses a significant health care burden. The Cancer Expert Working Group on Cancer Prevention and Screening (CEWG) was set up in 2002 by the Cancer Coordinating Committee to review and assess local and international scientific evidence, and to formulate recommendations for cancer prevention and screening. After considering the local epidemiology, emerging scientific evidence, and local and overseas screening practices, the CEWG concluded that it was unclear whether population-based breast cancer screening did more harm than good in local asymptomatic women at average risk. The CEWG considers that there is insufficient evidence to recommend for or against population-based mammography screening for such individuals. Women who consider breast cancer screening should be adequately informed about the benefits and harms. The CEWG recommends that all women adopt primary preventive measures, be breast aware, and seek timely medical attention for suspicious symptoms. For women at high risk of breast cancer, such as carriers of confirmed BRCA1/2 deleterious mutations and those with a family history of breast cancer, the CEWG recommends that they seek doctor's advice for annual mammography screening and the age at which the process should commence. Additional annual screening by magnetic resonance imaging is recommended for confirmed BRCA1/2 mutation carriers or women who have undergone radiation therapy to the chest between the age of 10 and 30 years. Women at moderate risk of breast cancer should discuss with doctors the pros and cons of breast cancer screening before making an informed decision about mammography screening every 2 to 3 years.-
dc.languageeng-
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkmj.org/-
dc.relation.ispartofHong Kong Medical Journal-
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Academy of Medicine Press.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectBreast neoplasms/prevention & control-
dc.subjectHong Kong-
dc.subjectMass screening-
dc.subjectRisk factors-
dc.titleRecommendations on prevention and screening for breast cancer in Hong Kong-
dc.typeArticle-
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.emailNgan, KCR: rkcngan@hku.hk-
dc.identifier.authorityLam, TH=rp00326-
dc.identifier.authorityNgan, KCR=rp02371-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.12809/hkmj177037-
dc.identifier.pmid29926793-
dc.identifier.hkuros286447-
dc.identifier.volume24-
dc.identifier.issue3-
dc.identifier.spage298-
dc.identifier.epage306-
dc.publisher.placeHong Kong-

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