디지털융복합연구 (Journal of Digital Convergence)

  • 제19권10호
  • /
  • Pages.491-500
  • /
  • 2021
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

중소도시 일 유방클리닉 방문 여성의 유방암 검진현황 -의무기록을 이용한 후향적 조사연구-

The status of breast cancer screening of women at a breast clinic in a small city in Korea -Using medical records-

  • 투고 : 2021.07.14
  • 심사 : 2021.10.20
  • 발행 : 2021.10.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

유방암 환자의 제 특성을 파악하여, 유방암 조기 검진의 중요성과 젊은 유방암의 심각성을 알리기 위해 시행하였다. 2010년 5월 1일부터 2020년 4월 30일까지(10년간) 일 유방 클리닉에 내원한 환자 23,200명 중 유방암으로 진단받은 483명의 의무기록을 이용한 후향적 조사연구이다. 유방암으로 진단받은 483명의 나이는 40대(36.0%)가 가장 많았으며, 30대(25.9%)가 다음으로 많았다. 유방암 가족력이 있는 경우가 5.4%, 폐경 상태는 29.2%였으며, 내원 동기로는 종괴가 54.2%로 가장 많았고, 유방 검진 경험은 출산 경험자가 비출산자보다 많았으며, 20-30대에서 유방검사 경험이 가장 적었다. 젊은 여성을 대상으로 유방암 검진의 중요성을 교육할 필요가 있으며, 유방암의 국가암검진 연령에 대한 재검토를 제언한다.

The status of breast cancer screening of women at a breast clinic in a small city in Korea-Using medical records Purpose: This study was conducted to investigate breast cancer incidence by age, including those under 40, and to emphasize the importance of early breast cancer screening for young breast cancer patients. Method: The study was designed as a retrospective survey method. We investigated the medical charts of 483 patients diagnosed with breast cancer among 23,200 visitors to local breast clinic from May 1, 2010 to April 30, 2020. Results: The average age of 483 patients was 47.9, with 36% in their 40s and 28.6% under 40. Among the patients, 5.4% had a family history of breast cancer, and 70.8% were pre-menopausal. The most common reason for visiting the clinic was the mass(54.2%). The size of tumors was less than 2cm (56%), followed by 2-5cm (43.4%) and more than 5cm (5.6%). The size of tumors was smaller in the asymptomatic case than in the symptomatic case. In the pathologic results, invasive ductal cancer was the most common at 80.3%. Conclusions: Breast cancer screening program should be activated even for young women under the age of 40. We suggest educating the importance of breast cancer screening, and lowering the age of national breast cancer screening program.

키워드

참고문헌

  1. World Health Organization. (2018). International agency for research on cancer-global cancer observatory age standardized (world) incidence rates, breast, all ages. 876, 1-2. https://gco.iarc.fr/(accessed on June. 25, 2021)
  2. F. Bray, J. Ferlay, I. Soerjomataram, R. L. Siegel, L. A. Torre & A. Jemal. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68, 394-424. https://doi.org/10.3322/caac.21492
  3. Ministry of Health and Welfare. (2020). Korea central cancer registry, National cancer center. Annual report of cancer statistics in Korea in 2018.
  4. Korean statistical information service.(2020). 2019 annual report on the causes of death statistics.
  5. S. Y. Song, S. Hong & J. K. Jun. (2021). Digital mammography as a screening tool in Korea. Journal of the Korean Society of Radiology, 82(1), 2-11. Korean. https://doi.org/10.3348/jksr.2021.0004
  6. American Cancer Society. (2019). Breast cancer facts & figures 2019-2020. Atlanta: American Cancer Society, Inc.
  7. Korean Breast Cancer Society. (2020). Breast cancer facts & figures 2020. Seoul: Korean Breast Cancer Society.
  8. Z. Kan et al. (2018). Multi-omics profiling of younger asian breast cancers reveals distinctive molecular signature, Nature Communications, 9. 172-175. https://doi.org/10.1038/s41467-017-02521-0
  9. H. J. Youn, H. R. Ahn, S. Y. Kang & S. H. Jung. (2019), Efficacy of ultrasonography in breast cancer screening. Journal of Surgical Ultrasound, 6, 1-7. https://doi.org/10.46268/jsu.2019.6.1.1
  10. J. H. Byun & E. J. Lee. (2020). Medical cost trends of breast cancer in Korea. Policy Trends, 14(6), Wonju-si: Health Insurance Review & Assessment Service. https://repository.hira.or.kr
  11. S. H. Kang, H. J. Jeon. (2007). Prognosis of breast cancer occurring in patients below the age of 35 years compared with groups above the age of 36 years. Journal of Korean Surgical Society, 72, 101-6.
  12. S. H. Lee, B. J. Kang & Y. Y. An. (2018). Breast cancer in women younger than 35-years-old: Correlation of MRI findings with clinicopathological features and immunohistochemical subtypes. Journal of Korean Society of Radiology, 79(4), 196-203. https://doi.org/10.3348/jksr.2018.79.4.196
  13. American Cancer Society. (2013). Breast cancer facts & figures 2013-2014. Atlanta: American Cancer Society, Inc.
  14. B. H. Son & S. H. Ahn. (2006). Survival analysis of Korean breast cancer patients diagnosed between 1993 and 2002 in Korea-A nationwide study of the cancer registry. Journal of Breast Cancer, 9(3), 214-229. https://doi.org/10.4048/jbc.2006.9.3.214
  15. H. J. Shin, E. S. Ko & A. Yi. (2015). Breast Cancer Screening in Korean Woman with Dense Breast Tissue. Journal of the Korean Society of Radiology, 73(5), 279-286. https://doi.org/10.3348/jksr.2015.73.5.279
  16. S. A. Narod. (2012). Breast cancer in young women. Nature Reviews Cinical Ocology, 9, 460-470. https://doi.org/10.1038/nrclinonc.2012.102
  17. D. P. Winchester, R. T. Osteen & H. R. Menck. (1996). The national cancer data base report on breast carcinoma characteristics and outcome in relation to age. Cancer, 78, 1838-1843. https://doi.org/10.1002/(SICI)1097-0142(19961015)78:8<1838::AID-CNCR27>3.0.CO;2-Y
  18. M. A. Maggard, J. B. O'Connell, K. E. Lane, J. H. Liu & D. A. Etzioni. (2003). Do young breast cancer patients have worse outcomes? Journal of Surgical Research, 113, 109-113. https://doi.org/10.1016/S0022-4804(03)00179-3
  19. A. H. Partridge et al. (2016). Subtype-dependent relationship between young age at diagnosis and breast cancer survival. Journal of Clinical Oncology, 34(27), 3308-3314. doi: 10.1200/JCO.2015.65.8013.
  20. E. Yildirim, C. T. Dalg & U. Berberoglu. (2000). Prognostic significance of young age in breast cancer. Journal of Surgical Oncology, 74, 267-72. https://doi.org/10.1002/1096-9098(200008)74:4<267::AID-JSO5>3.0.CO;2-N
  21. M. A. Maggard et al. (2003). Do young breast cancer patients have worse outcomes? Journal of Surgical Research, 113, 109-13. https://doi.org/10.1016/S0022-4804(03)00179-3
  22. O. H. Cho, Y. S. Yoo & Y. J. Suh. (2011). Parenting stress, parental behaviors and need for parental education relative to children characteristics of young women with breast cancer. Korean Journal of Adult Nursing, 23(6), 543-553.
  23. M. Suh et al. (2017). Trends in participation rates for the national cancer screening program in Korea, 2002-2012. Cancer Research and Treatment, 49(3), 798-806. doi: 10.4143/crt.2016.186.
  24. S. W. Im. (2011, May). The role of surgeons in national cancer screening. The proceeding of Korean surgical society symposium (188-189). Seoul: Korean Surgical Society.
  25. S. Y. Kim & E. K. Kim. (2016). Benefits and harms of breast screening: Focused on updated Korean guideline for breast cancer screening. Journal of Korean Society Radiology, 74(3), 147-155. https://doi.org/10.3348/jksr.2016.74.3.147
  26. E. H. Lee et al. (2015). The Korean guideline for breast cancer screening. Journal of Korean Medical Association, 58(5), 408-419. https://doi.org/10.5124/jkma.2015.58.5.408
  27. D. Y. Noh. (2000, May). A clinical review of hereditary breast cancer. The proceeding of Korean surgical society symposium(36-36). Seoul: Korean Surgical Society.
  28. B. H. Son, S. H. Ahn & M. H. Lee. (2008). Hereditary breast cancer in Korea: A review of the literature. Journal of Breast Cancer, 11(1), 1-9. https://doi.org/10.4048/jbc.2008.11.1.1
  29. J. W. Jeung, B. J. Na, C. W. Kim, M. S. Lee & S. H. Kim. (2009). Related factors of regular breast examination before the incidence of breast cancer. Journal of the Korea Academia-industrial Cooperation Society, spring conference, 9-12.
  30. S. R. Lee. (2016). Predictors of breast cancer screening performance using mammography in Korean women. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 6(16), 141-148. DOI: 10.35873/ajmahs.2016.6.2.016
  31. S. Y. Lee. (2011). Examining factors affecting young and middle age women breast cancer screen intention: focusing on cancer communication channel. Journal of Communication Science, 11(4), 417-455.
  32. H. R. Jeoung. (2016). Factors influencing breast cancer screening in Korean women aged 30 years and over. master's thesis, Korea University, Seoul.
  33. S. O. Lee, E, S. Sim, S. H. Ahn. (2010). Factors affecting periodic screening behaviors for breast cancer among hospital nurses. Korean Journal of Women Health Nursing, 16(4), 390-398. https://doi.org/10.4069/kjwhn.2010.16.4.390
  34. E. S. Sim & B. C. Yu (2010). Factors of periodic medical check-up on breast cancer among nurses. Kosin Medical Journal, 25(2), 57-64.
  35. National Cancer Center(2021). Trend of breast cancer screening rate 2004-2020.
  36. S. S. Bae et al. (2008). Factors associated with gastric cancer screening of Koreans based on a socio-ecological model. Journal of Preventive Medical Public Health, 41(2), 100-106. https://doi.org/10.3961/jpmph.2008.41.2.100
  37. M. S. Lee. (2008). Cancer screening and influencing factors in a island residents. Asian Oncology Nursing, 8(2), 138-146.
  38. Y. S. Kim. (1999, May). Diagnosis-specific characteristics of patients who visited the breast clinic for breast symptoms. The proceeding of Korean surgical Society symposium (158). Seoul: Korean Surgical Society.
  39. H. S. Yoon.(2004). Nationwide Korean breast cancer data of 2002. Journal of Korean Breast Cancer Society, 7, 72-83. https://doi.org/10.4048/jkbcs.2004.7.2.72
  40. D. S. Kim et al. (2007). Imaging and the clinical-pathologic features of invasive micropapillary carcinoma of the breast. Journal of the Korean Radiological Society, 56(5), 497-503. DOI: https://doi.org/10.3348/jkrs.2007.56.5.497
  41. S. J. Nam. (2009). Screening and Diagnosis for Breast Cancers. Journal of Korean Medical Association, 52(10), 946 - 951. https://doi.org/10.5124/jkma.2009.52.10.946
  42. S. A. Narod. (2012). Breast cancer in young women. Nature Reviews Clinical Oncology, 9, 460-470. https://doi.org/10.1038/nrclinonc.2012.102
  43. National Comprehensive Cancer Network (2018). Clinical practice guidelines in oncology (NCCN guidelines). Genetic/familial high-risk assessment: breast and ovarian. Fort Washington: NCCN.