Strategies for Establishing Breast Cancer Screening from the Perspective of the Parties Concerned

Abstract

 Breast cancer screening examinees are becoming more interested in dense breasts, and there are calls for notification of the "breast composition" including high-density breasts along with the screening results. In the United States, due to the rise of the "are you dense?^®" Movement, including Dr. Nancy, who is the party concerned, legislation, has been established in 38 states to require notification of breast composition. In Japan, in 2019, Okayama University conducted a multicenter study on Japanese women, and found that there is a strong relationship between high-density breasts and the risk of developing breast cancer in postmenopausal women and obese women. The breast cancer odds ratio for breast cancer is 2.85 times postmenopausal and 11.89 times for obese women .The FDA (US Food and Drug Administration) recommends that mammography-owning facilities should also report to patients and notify them of high-density breasts. The ACR (American Radiological Society) also needs to understand its own breast composition (mammary gland concentration) after undergoing a medical examination, and will work in cooperation with Congress, regulatory bodies, and patient groups on the premise that it is the examinee first. Expressed. On the other hand, in Japan, notification of breast composition is premature and not actively promoted. The examination is done at your own will to know your own health information. It is essential to get information about your body from the results of the examination. In order not to mislead the general public with misunderstandings and incorrect information about high-density breasts, it is possible for experts, the government, and patient groups to work together to promote notification of breast composition. It is indispensable for spreading lifestyle. In order for the next generation of Japanese breast cancer screening to move toward the world standard risk-based individualized screening, it is urgent to protect the right to know and enhance health literacy.