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Introduction: Organised, nationwide screening for breast cancer with mammography in the age group between 45 and 65 years with 2 years screening interval started in Hungary in January 2002., Aim: The aim of this study is to analyze the attendance rate of nationwide breast screening programme for the 2008-2009 years., Method: The data derive from the database of the National Health Insurance Fund Administration. The ratio of women in the age group 45-65 years was calculated having either a screening mammography or a diagnostic mammography in the 4th screening round of the programme., Results: In the years 2000-2001, 7.6% of the women had an opportunistic screening mammography while in 2008-2009 31.2% of the target population had screening mammography within the organized programme. During the same periods 20.2% (2000-2001) and 20.4% (2008-2009) of women had a diagnostic mammography. Thus the total (screening and diagnostic) coverage of mammography increased from 26.6% (2000-2001) to 50.1% (2008-2009). The attendance rate failed to change between 2002 and 2009., Conclusions: In order to decrease the mortality due to breast cancer, the attendance rate of mammography screening programme should be increased. Orv. Hetil., 154(50), 1975-1983.

Aim: Organised, nationwide screening for breast cancer with mammography in the age group of 45-65 years with a 2-year screening interval started in Hungary in January 2002. The aim of this study is to analyze the attendance rate of breast screening programme, including the analysis of the ratio of screening and diagnostic mammography examinations., Data and Methods: The data derive from the financial database of the National Health Insurance Fund Administration (NHIFA) covering the 6-year period between 2000-2006. The ratio of women in the age group of 45-65 years was calculated having either a screening mammography or a diagnostic mammography. The analysis was carried out for the years 2000-2001 before and 2002-2003, 2004-2005 after the implementation of nationwide organised programme., Results: In the years 2000-2001 7.26% of the women aged 45-65 had an opportunistic screening mammography, while in 2002-2003 34% and in 2004-2005 29.5% of the target population had screening mammography within the organised programme. During the same periods 19.8% (2000-2001), 22.1% (2002-2003) and 23.2% (2004-2005) of women aged 45-65 had a diagnostic mammography. Thus the total (screening and diagnostic) coverage of mammography increased from 26.2% (2000-2001) to 53.5% (2002-2003) and 50.8% (2004-2005)., Conclusions: Attendance of the Hungarian organised breast cancer screening programme slightly declined in 2004-2005, and to achieve the expected results in decline of mortality further improvement of attendance is necessary.

Background: Invasive lobular carcinoma accounts for 5-10% of all breast cancers and is associated with subtle clinical and mammographic changes. It is also frequently multifocal and traditional diagnostic methods are unable to reliably detect this preoperatively. The aim of the study was to evaluate the ability of current imaging modalities to detect and analyze invasive lobular carcinomas as compared to invasive ductal carcinomas., Material and Methods: A retrospective analysis of 396 invasive carcinomas - 331 ductal (84%) and 65 lobular (16%) - between 2000 and 2002 was performed. The two group were compared on the basis of result of mammography, physical examination, ultrasound, and cytology using a coded system points 1-5 concerning the malignancy., Results: The sensitivity of mammography and sonography for malignancy were higher in case of ductal carcinomas (81%, 77.4%), then by lobular cancers (75%, 72.2%), but the differences were not significant (p=0.4693 and p=0.4227 respectively). The radio-morphologic analysis shows the most frequent image was the stellate lesion in both group, but the difficult detectable structural distortions were found in 14.2% in lobular cancer- group, but only in 5.1% in case of ductal cancers without significance (p=0.5523). The clinical examination could predict the malignancy least of all, in the ductal group 42%, in the lobular group 40.2%. The cytology produced the best diagnostic result for malignancy in the ductal group 86.2%, and in the lobular group 76.5% was observed, the difference is significant (p=0.0069)., Conclusion: Although all elements of triplet diagnostics produces were more uncertain for malignancy in case of lobular carcinomas than ductal one, combining the result of the three radiological modalities and cytology increase the preoperative detection rate of lobular carcinoma.

Aim: Organised, nationwide screening for breast cancer with mammography in the age group 45-65 years with 2 years screening interval started in Hungary in January 2002. The aim of this study is to analyze the attendance rate of breast screening programme, including the analysis of the ratio of screening and diagnostic mammography examinations., Data and Methods: The data derive from the financial database of the National Health Insurance Fund Administration (NHIFA) covering the period 2000-2003. The ratio of women was calculated in the age group 45-65 years having either a screening mammography or a diagnostic mammography. The analysis was carried out for the years 2000-2001 (mainly opportunistic screening) before and 2002-2003 after the implementation of nationwide organized programme., Results: In the years 2000-2001 7,26% of the women aged 45-65 had an opportunistic screening mammography while in 2002-2003 33,95% of the target population had screening mammography within the organized programme. During the same periods 19,67% (2000-2001) and 22,05% (2002-2003) of women aged 45-65 had a diagnostic mammography. Thus the total (screening and diagnostic) coverage of mammography increased from 25,85% (2000-2001) to 53,46% (2002-2003)., Conclusions: The attendance of the Hungarian organized breast cancer screening programme - compared to the previous period before the implementation of the organized screening programme - is promising, although to achieve the expected results in mortality decrease a further improvement of the uptake is necessary.