Publications (2)5.39 Total impact
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ABSTRACT: The Sheffield UK prevalent round of breast screening ended in 1993. 30 848 women (acceptance rate 81.1%) underwent mammography. 1249 were recalled for further assessment and either underwent biopsy, were discharged to 3-yearly screening or referred for early follow-up. Indications for recall and outcome for this early follow-up group (191 women) were examined during prevalent and the subsequent incident round. All had abnormal mammography described as probably but not definitely benign. After triple assessment the diagnosis remained equivocal. Follow-up included repeat mammography at 6–12 months to avoid benign biopsy. Women then returned to routine screening or underwent biopsy if the lesion showed mammographic progression. Three women showed progression and subsequent biopsy revealed only one early stage carcinoma. None of 122 patients returning for subsequent screening have required biopsy. Most not reattending for further screening were beyond the upper age limit for screening (65 years) but three patients failed to attend because of anxiety. Early recall is an option for probably benign mammographic lesions remaining equivocal after triple assessment. Mammographic progression is an absolute indication for biopsy. However, the increased anxiety associated with early recall is a disadvantage of this approach.