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Folkeundersøgelse for Brystkræft, Mammografiscreening

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Folkeundersøgelse for Brystkræft, Mammografiscreening REGION HOVEDSTADEN Forretningsudvalgets møde den 11. december 2007 Sag nr. 11 Emne: Brystkræftscreening i Region Hovedstaden - invitationsbrev til målgruppen 3 bilag Folkeundersøgelse for brystkræft I Region Hovedstaden tilbyder vi alle kvinder mellem 50 og 69 år at blive undersøgt for brystkræft med to års mellemrum ved en såkaldt mammografiundersøgelse. Det er naturligvis helt frivilligt, om du vil deltage, men vi har reserveret en tid til dig ____dag den _________ klokken_____ På: Mammografiscreeningsklinikken, Bispebjerg Hospital Bispebjerg Bakke 23, indgang 63, 1.sal Hvis du ønsker en anden tid, kan du ringe til os. Undersøgelsen tager i alt omkring 20 minutter. Fordele og ulemper: At blive undersøgt for kræft, selvom man ikke på forhånd har en mistanke om, at der er noget galt, kan både have fordele og ulemper. På bagsiden af brevet kan du læse mere om dette. Hvis du ikke vil undersøges: Hvis du ikke vil gøre brug af tilbuddet, vil det være en stor hjælp for tilrettelæggelsen af vores arbejde, at du ringer eller mailer og melder fra. Et andet undersøgelsessted: Det er muligt at få foretaget undersøgelsen et andet sted, hvis det er mere bekvemt for dig. I Region Hovedstaden foretager vi brystkræftundersøgelser på Bornholms Hospital, Bispebjerg Hospital, Herlev Hospital, Hillerød Hospital og Hvidovre Hospital. Når du kommer til undersøgelsen, vil vi gerne have, at du: - har udfyldt det vedlagte spørgeskema. Lægerne har brug for spørgeskemaet, når de skal vurdere din undersøgelse - Medbringer røntgenbilleder, hvis du tidligere har fået foretaget en brystkræftundersøgelse på en privatklinik. Indopereret brystprotese: Hvis du har fået indopereret en brystprotese er det en god ide, at du kontakter os telefonisk inden undersøgelsen. Protesen kan i visse tilfælde være en teknisk hindring for undersøgelse af brystet. Hvornår får du svar: Vi sender dig et brev, når vores speciallæger har vurderet billederne. Der går højest 10 arbejdsdage, så har du svaret. Sådan får du kontakt med os: Sekretariatet for Mammografiscreening i Region Hovedstaden træffes på telefon 56 90 90 65 / e-mail til [email protected] mandag til torsdag klokken 8.00 – 15.00 og fredag klokken 8.00 – 13.00. Med venlig hilsen Ilse Vejborg Screeningschef Fordele og ulemper En rutineundersøgelse for kræft i brystet har både ulemper og fordele. Nedenfor kan du læse om det - og på den baggrund kan du veje fordele og ulemper op mod hinanden og selv vælge, om du vil tage imod tilbuddet eller ej. Fordele: Bedre overlevelse: Formålet med at screene – altså undersøge for kræft uden en konkret mistanke om, at der er noget galt hos den enkelte – er at finde kræft så tidligt, at den ikke har spredt sig til andre organer. Dermed forbedres chancen for overlevelse. Tidlig opsporing: Ved mammografi er det muligt at finde en kræftknude på 1 cm eller mindre. Det vil sige før, man kan føle den med hånden. Skånsom behandling: Når sygdommen opdages tidligt og behandles i et tidligt stadium, er der større mulighed for at tilbyde en operation, hvor brystet kan bevares. Mindre efterbehandling: Kemo- eller antihormonbehandling er ofte unødvendig, når man starter behandlingen på et tidligt stadium. Ulemper: Overbehandling: Nogle af de forstadier til brystkræft, som man finder og opererer bort, ville aldrig have udviklet sig til brystkræft, selvom man ikke havde opdaget det. Man kan nemlig ikke udpege de forstadier til brystkræft, der med sikkerhed vil udvikle sig til kræft på længere sigt. Der er usikkerhed om, hvor ofte der sker overbehandling. Falsk alarm: Hvis røntgenbilledet viser nogle forandringer, bliver kvinden indkaldt til en ny undersøgelse. I en del tilfælde viser det sig, at forandringerne er godartede – og at det altså var falsk alarm. Falsk tryghed: Ikke alle kræftknuder kan opdages på et røntgenbillede. Søg læge, hvis du selv finder en knude i brystet. Også selvom du for nylig har været til en rutineundersøgelse og har fået røntgenfotograferet brysterne. Ubehag ved undersøgelsen: Brystet bliver klemt mellem to plader, mens der tages et røntgenbillede. Det varer kun et øjeblik, men nogle kvinder synes, det er ubehageligt. Uroen mens man venter: Selve undersøgelsen og den efterfølgende ventetid kan medføre frygt og uro. Det er forskelligt fra kvinde til kvinde, hvor meget uroen fylder. Du må afveje, om selve undersøgelsen og ventetiden på et svar vil gøre dig så urolig, at du ikke vil acceptere det – eller om svaret tværtimod vil give dig større ro og sikkerhed. Hvis du vil vide mere: Du kan læse mere om brystkræftundersøgelsen i den vedlagte pjece fra Sundhedsstyrelsen. År 2007 Du bedes venligst medbringe det udfyldte spørgeskema. Skemaet 4. Føler du en knude i brystet? bedes besvaret, også selvom du tidligere har udfyldt et skema, Hvis ja - angiv hvor på tegning: da det har betydning for lægernes vurdering af undersøgelsen. Navn: CPR-nr.: Hvor længe har du følt knuden? Er den undersøgt? 1. Får du/har du fået hormontilskud? Hvis ja - fra hvornår? 5. Er du opereret for godartede forandringer eller kosmetisk Får du fortsat hormontilskud? opereret i brysterne? Præparatets navn: Hvis ja - i hvilket bryst? Bruger du Melbrosia, Gelé Royale eller Cimicifuga? Hvornår? 2. Har du fået foretaget mammografier udover 6. Er du opereret for brystkræft? folkeundersøgelsen? Hvis ja - i hvilket bryst? Hvis ja - hvornår? Hvornår? Hvor? På hvilket sygehus? Medbring venligst røntgenbillederne 7. Ønsker du også svar til egen læge? ________________________________________ 3. Er der/har der været brystkræft i den nærmeste familie? Hvis ja – hvem? Revideret den 21.12.2006 IV/ef Praktiske oplysninger RRegionens Logo [Her indsættes lokale/regionale informationer] Mammografi – screening SpørgSmål og information for brystkræft Hvis du har spørgsmål vedr. mammografi, kan du www. cochrane.dk • Hjemmeside for det Nordiske spørge din praktiserende læge eller søge oplysninger Cochrane Center på følgende hjemmesider: www.cancerscreening.nhs.uk • Engelsk hjemmeside www.sundhed.dk • Det offentlige sundhedssystem for National Health Service Screening Programmes www.sst.dk • Sundhedsstyrelsen www.cancercode.org/index.thml • EU’s anbefalinger www.cancer.dk • Kræftens Bekæmpelse vedr. screening og begrundelser herfor. invitation til mammografi Tilbud om undersøgelse regionen inviterer dig hermed til en gratis røntgenundersøgelse af brystet, Du har mulighed for at få en røntgenundersøgelse (en mammografi ), også kaldet mammografi . Dette tilbud gives til alle kvinder mellem 50 og der kan vise, om du har forandringer i brystet. forandringerne kan være 69 år hvert andet år. formålet med undersøgelsen er at fi nde de kvinder, vandcyster, godartede knuder og små forkalkninger. De kan også være der har tidlige stadier af brystkræft, for at kunne tilbyde tidlig behandling. egentlige kræftknuder eller tidlige stadier af kræftknuder, der er så små, at du endnu ikke kan føle dem med hånden. [Her indsættes lokale/regionale informationer] Du kan få mere at vide om mammografi undersøgelsen ved at læse denne pjece. På bagsiden er der oplysninger om, hvor undersøgelsen foregår, og hvor du kan få yderligere oplysninger. Hvis du ikke ønsker information eller undersøgelse, kan du kontakte screeningsklinikken og framelde dig ordningen, se pjecens bagside. Herefter vil du hverken modtage rykkerskrivelser eller fl ere invitationer. Du kan til enhver tid tilmelde dig igen. Tilbudet om mammografi til alle kvinder mellem 50 og 69 år hvert andet år gives på baggrund af erfaringer fra udlandet, der viser, at den samlede dødelighed af brystkræft falder, når man indfører mammografi screening. sundhedsstyrelsen anbefaler screening efter en samlet afvejning af undersøgelsens fordele og ulemper. ‘screening’ betyder her undersøgelse af en befolkningsgruppe for at opspore brystkræft i et tidligt stadium. Manuskript: Sundhedsstyrelsen/Komiteen for Sundhedsoplysning. Illustrationer: Polfoto 1 Uroen mens man venter Fordele og ulemper Selve undersøgelsen og venten på svar kan medføre frygt og uro. Det er Mammografi kan have både fordele og ulemper, som kun du selv kan veje forskelligt fra kvinde til kvinde, om uroen får en dominerende plads, eller op mod hinanden: om den føles overkommelig. Fordele Du må afveje, om selve undersøgelsen og venten på svar vil gøre dig urolig • Bedre overlevelse: Formålet med at screene er at finde kræft så tidligt, i en grad, du ikke vil acceptere, eller om svaret tværtimod vil give dig større at den ikke har spredt sig til andre organer – og dermed forbedre ro og sikkerhed. chancen for overlevelse. tal med andre om det, hvis bekymringen om brystkræft fylder • Tidlig opsporing: Ved mammografi er det muligt at finde en kræftknude uforholdsmæssigt meget eller varer længe. på 1 cm eller mindre. Dvs. før man kan føle den med hånden. • Skånsom behandling: Når sygdommen opspores og behandles i et tidligt stadium, er der større mulighed for en brystbevarende operation. • Mindre efterbehandling: Kemo- eller antihormonbehandling er ofte unødvendig ved behandling af tidlige stadier. Ulemper • Overbehandling: Man kan ikke udpege de forstadier til brystkræft, der med sikkerhed vil udvikle sig. Nogle af de forstadier, som man finder og opererer bort, ville aldrig have udviklet sig til brystkræft, selv om man undlod operation. Der er endnu usikkerhed om, hvor ofte der sker overbehandling. • Falsk alarm: Hvis røntgenbilledet viser nogle forandringer, bliver kvinden indkaldt til en ny undersøgelse. I en del tilfælde viser det sig, at forandringerne er godartede – og at det altså var falsk alarm.. • Falsk tryghed:
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