SIMULTANEOUS SCREENING FOR BREAST, CERVIC AL AND COLORECTAL CANCERS -TRIAL IN THE ISERE DEPARTMENT (FRANCE)

The mass screening program for cancer in the Isere department offers w omen between 50 and 69 years a medical consultation and three tests: m ammography for breast cancer screening. Pap smear for cervical cancer screening, and hemoccult for colorectal cancer. During the first round , 29,570 women took part in the program, 21% had a mammography, 20% Pa p smears and 25% a hemoccult. In breast cancer screening, the rate for further examination was 11.9%, the breast cancer detection rate was 5 .4 per 1,000 women screened and the detection rare of invasive tumor l ess than or equal to 10 mm: 2.0 per 1,000. In cervical cancer screenin g, the rate of abnormal examinations was 1.2%. The cervical cancer det ection rate war 1.5 per 1,000. The rate of positive hemoccult was 2.7% and the rate of colorectal cancers and polyps 10 mm or larger war 2.7 per 1000. Results of screening are satisfying, but compliance rare is too low. Acceptance rate must be examined in following rounds.