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The Prospect of Breast Cancer:
The Problems of Tracking Mammography Anomalous cases
Pei-Lan Liu Hui-Wen Pai
Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City, Taiwan
【Abstract /introduction】
1
In terms of incidence of female cancers worldwide, breast cancer is on the top.
Taiwan’s National Health Department provides women over 40 years old with free
mammography to detect and treat breast cancer at an early stage. However, not all
of abnormal cases return to hospitals as expected. In women, breasts are considered
important sex organs with the function of producing milk, and cancer is
misconceived as incurable disease. It’s noteworthy why breast cancer patients aren’t
return for further diagnosis.
【Purpose 】
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In this research, we tried to find out the obscure meanings in which breast cancer
patients intentionally dodge the further treatment. Cancer-screening Case Managers
play an important role by providing experience about tracking specific patients who
were unwilling to cooperate with health professionals. Based on the interviews
records of 57 cases, we coded and furtherly analyzed the verbatim drafts, to
interpret the nature of problem, and ultimately to find out feasible solutions.
【Results】
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1. Short of Health Vigilance: Anomalous cases show lukewarm response to the
breast cancer screening results and making use of business or negligence as
excuses to avoid further diagnosis .
2. Afraid of facing the truth: Patients who misunderstand cancer as the equivalent of
death or equate breasts with female symbol can’t rationally face the first screening
result. She is so anxious and depressed that any alibi could be used to refuse
reexamination.
【Conclusions】
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This research shows that women’s reaction for mammography abnormalities is
either overacted or careless. For the purpose of “Early Detection, Early
Treatment”, we need continuously to intensify the advocacy of breast cancer
prevention. All the myth about breasts should be removed, and ultimately,
rehabilitate the correct images of female breasts.