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..::SMP 2004 Facts & Figures::..


Revised 28/01/2008

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The College of Radiology Mammogram Programme – The 4th Year (2004)

by Dr Evelyn Ho
 

Participant Profile & Analysis of the 2004 Mammogram Programme
 

By State

A total of 425 women benefited from the programme. The distribution of participants were 24% from Perak and 24% from Kuantan; 51% from the Klang Valley, 1% from Ng Sembilan.
 

By Ethnic Group

70% were Chinese, 16% Malays, 13% Indians and only 1% was from other ethnic groups. Even in Kuantan, about 50% of those accessing the mammogram programme were Chinese.
 



 

By Age

The mean age of the participants was 50.5 years while participants ranged from 35 years to 79 years of age! Although the entry age for the programme was 40 years, some discretion was exercised when the participant had breast symptoms and signs. 52% were 49 years or younger while the most of the participants were in the target age group of the programme – i.e. 86% were between 40 – 59 years of age.

First mammograms?

68% of those attending never had a mammogram before.
 

Need for Complementary Ultrasound of the Breasts

Adjunct ultrasound (complementary to the mammogram) was done in 48% of the participants.
 

Positive Family History of Breast Cancer in First Degree Relatives

12% of the participants had positive family history but none of these were found to have breast cancer at the time of this programme.
 

Mammogram Report Conclusion

92% of the mammograms done were either normal or had benign findings. This figure is similar to the 2001(92%) and 2002 (91.2%) mammogram report findings.  Only 4% were in the indeterminate group, while 2% were slightly suspicious and only 1% was highly suspicious. Of those that were highly suspicious – 2 eventually proved to be cancer on tissue sampling (biopsy).

A spot view of a cancer seen on a mammogram

Proven Breast Cancers (on Tissue Diagnosis)
Two participants were proven to have breast cancer. Both were Chinese, one at 79 years had a mastectomy while the 57 year old had breast conserving surgery (only the area of the cancer with some surrounding breast tissue was removed and not the whole breast) to be followed by chemotherapy and radiotherapy.

One had no risk factors for breast cancer. The 57 year old lady had just menopause at 56 years and had no children (nulliparous). These are considered risk factors for breast cancer – a late menopause and nulliparity.

Follow-through with Recommended Treatment Important

”When I hear of direct sales medication, it makes me angry. I was influenced to use alternative medicine and my breast cancer recurred within 8 months of surgery” – Mdm Tong.

Our target group was achieved in this year’s programme – the 40-69year age group. The Chinese made up the majority of those who accessed the service even though the demographics wise, the Malays make up the biggest proportion of the population. This could be due to increased awareness amongst this ethnic group or that the urban areas (where the mammogram centres are located) tend to have a higher proportion of Chinese. This may be a fortunate trend as the incidence of breast cancer is highest amongst the Chinese in Malaysia.

We note that it is important that those diagnosed with breast cancer follow through with the treatment. Mdm Tong’s situation as described in the initial section of this report is just one of the many we encounter in medical practice and may be totally avoidable.

That is why the College emphasises the education campaign and not just a mammogram or a self breast check campaign. Breast cancer awareness involves all aspects including the psychosocial aspects as well as treatment aspects. We have received feedback where women praised the programme for saving their lives because they heard the proactive breast health messages in the media and began to take charge of their breast health. They either found their breast lump and went to see their doctor or as in the case of Mdm SL Ang, at her first mammogram during the 2004 mammogram programme – discovered her breast cancer.
 

We thank the Sponsors

We thank all our donors who have contributed over the years (2001-2004) to the mammogram programme:

Johnson & Johnson (RM100,000); Meditel (RM60,000), Avon Cosmetics (RM30,000), Tan Chong Motor Holdings (RM5,000) and smaller sums from various individuals and companies. A 5 year grant from the MMA Foundation has also been obtained and will end in 2005.

No donation is too small. Tax Exempt Donations for the Mammogram Programme can be made out to MMA Foundation Radiology Fund (please state Mammogram Programme behind the cheque) and send your cheque to:

College of Radiology
c/o Radiology Department
University Malaya Medical Centre
59100 Kuala Lumpur

 
 

“Don’t stop the subsidised mammogram programme!”

“On 25th August 2004,
I had my first mammogram and it showed I had breast cancer. I had not felt anything in my breasts
at all! I would not have thought about a mammogram if not for the College of Radiology’s breast
cancer awareness programmes and specifically the provision of mammograms at subsidised rates. Fortunately my friend
had heard about it and told me to go for one. I feel this is a good programme for creating awareness and also helping women to
access mammograms
by providing a subsidy. This programme should be ongoing!” - Mdm SL Ang, 57 years old and a retired civil servant.

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