293P - Preliminary results of the experience of dar el amal and analysis of feasibility of mammographiy in screening for breast cancer in women younger th...

Date 29 September 2014
Event ESMO 2014
Session Poster Display session
Topics Breast Cancer, Early Stage
Cancer Aetiology, Epidemiology, Prevention
Imaging, Diagnosis and Staging
Presenter Jamel Daoud
Citation Annals of Oncology (2014) 25 (suppl_4): iv85-iv109. 10.1093/annonc/mdu327
Authors J. Daoud1, W. Ben Kridis2, F. Elloumi3, I. Ayedi2, W. Mnejja3, O. Yaich2, M. Frikha2
  • 1Radiation Oncology, Habib Bourguiba Hospital, 3029 - Sfax/TN
  • 2Medical Oncology, Habib Bourguiba Hospital, Sfax/TN
  • 3Radiation Oncology, Habib Bourguiba Hospital, Sfax/TN



We propose in this study to analyze the results of breast cancer screening obtained in the experience of Dar El Amal by comparing the two age groups 45-49 years versus over 50 years.


This experience of Dar Al Amal was started in Sfax (Tunisia) in 2004. The project had included women over a period of six and a half years. The target population was all women over the age of 45 years.


In the period of the study, 10 000 women had at least one mammography within the first round in Dar El Amal. The average age was 51.56 years. The recall rate was more important in women aged 45-49 years compared with those over 50 years with a statistically significant relationship (p = 0.013). Tests classified ACR0 and ACR3 predominated in women aged between 45 and 49 years with a statistically significant relationship. The positive predictive value (PPV) of mammography was better in those over 50 years (p = 0.012).


The majority of countries in the world opt for screening from the age of 50 years. Women under 50 years are not routinely screened, but they have more right to a targeted and appropriate screening.


All authors have declared no conflicts of interest.