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1

MRCGP, Humphreys John, Cancer Research Campaign (Great Britain) i National Breast Screening Programme (Great Britain), red. Breast cancer screening. Oxford: Oxford University Press, 1988.

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2

Royal Colleges of Physicians of the United Kingdom. Committee on Health Promotion. Screening for breast cancer. London: Faculty of Community Medicine of the Royal Colleges of Physicians of the United Kingdom, 1986.

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Royal Colleges of Physicians of the United Kingdom. Committee on Health Promotion. Screening for breast cancer. London: The Colleges, 1987.

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4

E, Day N., i Miller A. B, red. Screening for breast cancer. Toronto: Huber, 1988.

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Elizabeth, Parvin, red. Screening for breast cancer. Oxford: Oxford University Press, 2007.

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E, Day N., Miller, A. B. (Ed.) i International Union Against Cancer, red. Screening for breast cancer. Bern: Hans Huber, 1988.

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7

Farrow, Alexandra. Breast cancer screening thesaurus. Bristol: Health Care Evaluation Unit, Department of Epidemiology and Public Health Medicine, University of Bristol, 1991.

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8

Gad, Adel, i Marco Rosselli Del Turco, red. Breast Cancer Screening in Europe. Berlin, Heidelberg: Springer Berlin Heidelberg, 1993. http://dx.doi.org/10.1007/978-3-642-78154-4.

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9

Shetty, Mahesh K., red. Breast Cancer Screening and Diagnosis. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-1267-4.

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10

Breast cancer screening and prevention. Hauppauge, N.Y: Nova Science, 2011.

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11

D, Kohatsu Neal, i California. Dept. of Health Services., red. Breast cancer screening in California. Sacramento: California Dept. of Health Services, Cancer Detection Section, 1995.

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Adel, Gad, i Rosselli Del Turco, M. 1948-, red. Breast cancer screening in Europe. Berlin: Springer-Verlag, 1993.

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13

Leicestershire Health Authority. Department of Public Health and Communnity Medicine., red. Breast cancer screening in Leicestershire. [S.l.]: Leicestershire Health Authority, 1989.

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14

Great Britain. Parliament. House of Commons. Health Committee. Breast cancer services. London: HMSO, 1995.

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15

Great Britain. Parliament. House of Commons. Health Committee. Breast cancer services. London: HMSO, 1995.

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16

Codd, Mary B. The Eccles breast screening programme. Dublin: University College Dublin, Centre for HealthEconomics, 1994.

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17

P, Vessey M., Great Britain. Department of Health. Advisory Committee on Breast Cancer Screening. i NHS Breast Screening Programme, red. Consolidated guidance on breast cancer screening. Oxford: Screening Publications, 1990.

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18

P, Sloane J., i NHS Breast Screening Programme, red. Pathology reporting in breast cancer screening. Wyd. 2. Sheffield: NHSBSP Publications, 1995.

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19

The politics of breast cancer screening. Aldershot, Hants, England: Avebury, 1996.

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20

South East of Scotland Breast Screening Service. Breast screening: Local report, November 2003. Edinburgh: NHS, 2003.

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21

Scotland, NHS. Breat screening: East of Scotland breast screening service local report - November 2003. Edinburgh: NHS Quality Improvement Scotland, 2003.

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22

R, Wilson, NHS Breast Screening Programme i NHS Cancer Screening Programmes, red. Clinical guidelines for breast cancer screening assessment. Sheffield: NHS Cancer Screening Programmes, 2001.

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23

Shetty, Mahesh K. Breast cancer screening and diagnosis: A synopsis. New York: Springer, 2015.

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24

Canada, Canada Health. Organized breast cancer screening programs in Canada. Ottawa: Health Canada, 1998.

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25

National Cancer Institute (U.S.), red. Screening mammograms: Current scientific evaluation. [Bethesda, Md.?]: National Institutes of Health, National Cancer Institute, 1994.

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26

E, Morgan M. W., Warren R i Querci della Rovere G, red. Early breast cancer: From screening to multidisciplinary management. Amsterdam, The Netherlands: Harwood Academic Publishers, 1998.

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27

Patrick, Forrest. Breast cancer: The decision to screen. London: Nuffield Provincial Hospitals Trust, 1990.

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28

Gunilla, Svane, red. Screening mammography: Breast cancer diagnosis in asymptomatic women. St. Louis: Mosby, 1993.

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29

European Parliament. Directorate-General for Research., red. Breast cancer screening programmes in the European Union. Luxembourg: European Parliament, Directorate-General for Research, 1995.

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30

National Institutes of Health (U.S.). Office of the Director, red. Breast cancer screening for women ages 40-49. Bethesda, MD: National Institutes of Health, Office of the Director, 1997.

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31

Toi, Masakazu, red. Screening and Risk Reduction Strategies for Breast Cancer. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-19-7630-8.

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32

1963-, Morrison Patrick J., Hodgson S. V i Haites Neva E. 1947-, red. Familial breast and ovarian cancer: Genetics, screening, and management. Cambridge, UK: Cambridge University Press, 2002.

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1963-, Morrison Patrick J., Hodgson S. V i Haites Neva E. 1947-, red. Familial breast and ovarian cancer: Genetics, screening, and management. Cambridge: Cambridge University Press, 2005.

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34

Yvonne, Fritz, red. Alberta Breast Cancer Screening Program: Policy document : a report. Alberta]: Alberta Breast Screening Policy Council, 1997.

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35

Sciences, National Cancer Institute (U S. ). Division of Cancer Control and Population. Evaluating screening performance in practice: Breast Cancer Surveillance Consortium. Bethesda, Md.]: National Cancer Institute, Division of Cancer Control and Population Sciences, 2004.

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36

Rajendra, Acharya U., red. Performance evaluation of breast cancer: Screening, diagnosis, and treatment. Stevenson Ranch, Calif: American Scientific Publishers, 2010.

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37

Gray, Muir. General principles of quality assurance in breast cancer screening. Oxford: Screening Publications, 1990.

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38

Craddock, Penny. Cancer screening for practice nurses: Breast and cervical modules. Abingdon, Oxon: The Medicine Group (UK), 1991.

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39

Dawson, Deborah A. Breast cancer risk factors and screening: United States, 1987. Hyattsville, Md: U.S. Dept of Health and Human Services, Public Health Service, Centers for Disease Control, National Center for Health Statistics, 1990.

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40

National Coordination Group for Surgeons working in Breast Cancer Screening. Quality assurance guidelines for surgeons in breast cancer screening. Sheffield): NHSBSP Publications, 1992.

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41

Mammography screening: Truth, lies and controversy. London: Radcliffe Pub, 2012.

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42

Austoker, Joan. Breast cancer screening: A practical guide for primary care teams. Oxford: Meditext, 1990.

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43

McGuire, Christine. Breast screening programme: Attenders and non-attenders in Epping. London: Health Education Authority, 1989.

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44

Screening, Great Britain Working Group on Breast Cancer. Interim report of the UK Working Groupon Breast Cancer Screening. (London?: Department of Health and Social Security?, 1985.

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45

G, Haynes Suzanne, Mara Joy R i National Institutes of Health (U.S.), red. The picture of health: How to increase breast cancer screening in your community. [Bethesda, Md.?]: National Cancer Institute, 1993.

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46

Grant, Warren, i Martin Scott-Brown. Prevention of cancer. Redaktorzy Patrick Davey i David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0350.

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Streszczenie:
In the UK, the four commonest cancers—lung cancer, breast cancer, colon cancer, and prostate cancer—result in around 62 000 deaths every year. Although deaths from cancer have fallen in the UK over the last 20 years, the UK still suffers from higher cancer death rates than many other countries in Western Europe. In 1999, the UK government produced a White Paper called Saving Lives: Our Healthier Nation that outlined a national target to reduce the death rate from cancer by at least 20% in people under 75 by 2010. The subsequent NHS Cancer Plan of 2000 designed a framework by which to achieve this target through effective prevention, screening, and treatment programmes as well as restructuring and developing new diagnostic and treatment facilities. But do we know enough about the biology of the development of cancer for government health policies alone to force dramatic changes in survival? The science behind the causes of cancer tells us that its origin lies in acquired or inherited genetic abnormalities. Inherited gene mutation syndromes and exposure to environmental mutagens cause cancer, largely through abnormalities in DNA repair mechanisms, leading to uncontrolled cell proliferation. Although screening those thought to be at highest risk, and regulating exposure to environmental carcinogens such as tobacco or ionizing radiation, have reduced, and will continue to reduce, cancer deaths, there are many other environmental factors that have been shown to increase the population risk of cancer. These will be outlined in this chapter. However, the available evidence is largely from retrospective and cross-sectional population-based studies and therefore limits the ability to apply this knowledge to the risk of the individual patient who may been seen in clinic. Although we may be able to put him or her into a high-, intermediate-, or low-risk category, the question ‘will I get cancer, doc?’ is one that we cannot answer with certainty. The NHS Cancer Plan of 2000, designed to reduce cancer deaths in this country and to bring UK treatment results in line with those other countries in Europe, focuses on preventing malignancy as part of its comprehensive cancer management strategy. It highlights that the rich are less likely to develop cancer, and will survive longer if they are diagnosed than those who live in poverty. This may reflect available treatment options, but is more likely to be related to the lifestyle of those with regular work, as they may be more health aware. The Cancer Plan, however, suggests that relieving poverty may be more labour intensive and less rewarding than encouraging positive risk-reducing behaviour in all members of the population. Eating well can reduce the risk of developing many cancers, particularly of the stomach and bowel. The Cancer Plan outlines the ‘Five-a-Day’ programme which was rolled out in 2002 and encouraged people to eat at least five portions of fruit and vegetables per day. Obese people are also at higher risk of cancers, in particular endometrial cancer. A good diet and regular exercise not only reduce obesity but are also independent risk-reducing factors. Alcohol misuse is thought to be a major risk factor in around 3% of all cancers, with the highest risk for cancers of the mouth and throat. As part of the Cancer Plan, the Department of Health promotes physical activity and general health programmes, as well as alcohol and smoking programmes, particularly in deprived areas. Focusing on these healthy lifestyle points can potentially reduce an individual lifetime risk of all cancers. However, our knowledge of the biology of four cancers in particular has led to the development of specific life-saving interventions. Outlined in this chapter are details regarding ongoing prevention strategies for carcinomas of the lung, the breast, the bowel, and the cervix.
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47

Security, Dept of Health &. Social. Breast Cancer Screening. Stationery Office Books, 1987.

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48

Breast cancer screening. New York: Chapman & Hall, 1997.

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49

Jatoi, I. Breast Cancer Screening. R G Landes Co, 1997.

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Breast Cancer Screening. Elsevier, 2016. http://dx.doi.org/10.1016/c2014-0-02059-x.

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