Evolution of mammographic screenings and impact on early diagnosis of breast cancer at the University Hospital of Alessandria: a comparison between 2019 and 2023
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Accepted: 11 March 2025
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Background: Breast Cancer (BC) is one of the most common cancers in women, with its incidence increasing with age. Early detection through screening programs is crucial for improving treatment outcomes. Materials and Methods: this study evaluates the outcomes of the Breast Unit at the University Hospital of Alessandria (AOU AL), established in 2020, in collaboration with the "Prevenzione Serena" Breast Cancer Screening Service of Local Health Authority of Alessandria and compares data from 2019 and 2023 to assess improvements in early detection and surgical interventions Seven women were treated in 2019, whereas 51 received surgery in 2023. Data from the Oncological Screening Information System (SIOSOweb), Trackcare InterSystem, and the Quality of Breast Cancer Treatment Form (SQTM) were analyzed. Results: the results show an increase in screening participation (46.8% in 2019 to 58% in 2023) and an increase in early-stage tumor detection. Smaller tumors (pT1) were detected more frequently, rising from 50% in 2019 to 83% in 2023. Sentinel Lymph Node Biopsy (SNB) remained the most common procedure, although node-free tumors slightly decreased. Conclusions: the data highlight the importance of the "Prevenzione Serena" screening program and the establishment of the Breast Unit at AOU AL in improving the early diagnosis and management of BC. The study underscores the significance of a multidisciplinary approach to BC care and suggests that continuous investment in screening and specialized units is essential for improving patient outcomes.
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