Abstract: | ![]() OBJECTIVES: Kujawsko-pomorskie province is a region with high morbidity and death-rate from breast cancer and uterine cervix cancer. One method of improving this situation is prophylactic medical examinations aiming to find out the less advanced forms. DESIGN: The aim of work was to estimate the results of prophylactic medical examinations that were taken in Regional Oncological Center of Bydgoszcz during a 2002 year. MATERIALS AND METHODS: Mammography were taken using 3 devices. First one so called "mobile" localized in chosen health service centres, second in mammobus reaching distant communes and third taking examinations locally, where gynaecologic examination and breast examination took place. Cytologic examination were rated with Bethesda's system and according to Papanicolau. There was 23923 people examined for breast cancer (age 35-79) and 7946 for uterine cervix cancer (age 30-74). 9183 medical examinations were taken by "mobile" device, 4592 in mammobus and 10148 locally. 11986 people had breast examination, 6118 had gynaecologic examination. RESULTS: Among cytologic examinations results were: I group--3902, II group--4019, III group--21, IV group--3, V group--1. Ten uterine cervix cancers were found, that makes 0.13% of examined population. Five of them were carcinoma planoepitheliale praeinvasivum. Among prophylactic of breast cancer 91 cases were discovered (0.38% of examined population). Five of them were carcinoma intraductale typus comedo (3 were mastectomy simplex, 2 tumorectomy with radiotherapy). The treatment of invasive carcinomas was breast conserving. CONCLUSIONS: Prophylactic medical examinations let to find cancer in early state of development, and number of detection of carcinomas is a justification of continuation of this project. Possibility to do examinations for women from villages should have influence on detection early breast cancer and uterine cervix cancer. |