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Four female cancers account for about one-fifth of cases; gynecologists can preventively influence outcomes because breast and cervical cancers are common, occur only in women, and have effective screening options. The study develops a combined screening model for women at risk of both cancers, proposing breast ultrasound instead of routine clinical exams and outlining benefits, limitations, and implementation needs.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/protocol-of-breast-cancer-prevention-model-with-addition-of-breast-ultrasound-to-routine-gynecologic-visits-received-27-november-2022/378599/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/protocol-of-breast-cancer-prevention-model-with-addition-of-breast-ultrasound-to-routine-gynecologic-visits-received-27-november-2022/378599.png","ImageObject",300,407,{"name":92,"@type":93},"mieayamfan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What problem motivates the proposed screening protocol?","Question",{"text":113,"@type":114},"Low attendance for cancer screening tests in Poland requires analysis and implementation recommendations for effective prevention programs.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How does the model combine breast and cervical cancer prevention?",{"text":118,"@type":114},"The research aims to create a screening model that maximizes health outcomes for women at risk of both breast and cervical cancers.",{"name":120,"@type":111,"acceptedAnswer":121},"What is the key diagnostic change proposed for breast cancer screening?",{"text":122,"@type":114},"Instead of regular clinical breast exams, the protocol proposes ultrasound examination, where palpation may also be performed in the absence of elastography.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},378599,1790783102,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},962090893677,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","diagnostics  \nProtocol  \nProtocol of Breast Cancer Prevention Model with Addition of Breast Ultrasound to Routine Gynecological Visits as a Chance for an Early Diagnosis and Treatment in 25 to 49-Year-Old Polish Females  \nMarcin ´Sniadecki 1, *,†, Paulina Jaworek 1,2,3,†, Zuzanna Chmielewska 1,3, Patryk Poniewierza 4,5, Maria Stasiak 1,3, Martyna Danielkiewicz 1,3, Damian Stencelewski 1,3, Michał Brzezi ´nski 6,7,  \nZuzanna Anna Boyke 8, Ewa Wycinka 9, Medha Sunil 1, Marie Nguyen 1, Dagmara Klasa-Mazurkiewicz 1, Krzysztof Koziełek 10, Piotr Rak 11, Yvonne Wolny 12, Marcin Liro 1, Paweł Władysław Guzik 13, Katarzyna Dobruch-Sobczak 14,15 and Dariusz Wydra 1  \nCitation: ´Sniadecki, M.; Jaworek, P.; Chmielewska, Z.; Poniewierza, P.; Stasiak, M.; Danielkiewicz, M.; Stencelewski, D.; Brzezi ´nski, M.; Boyke, Z.A.; Wycinka, E.; et al. Protocol of Breast Cancer Prevention Model with Addition of Breast Ultrasound to Routine Gynecological Visits as a Chance for an Early Diagnosis and Treatment in 25 to 49-Year-Old Polish Females. Diagnostics 2023, 13, 227. [https://](https://)[ ](https://)[doi.org/10.3390/diagnostics13020227](doi.org/10.3390/diagnostics13020227)  \nAcademic Editor: Gary J. Whitman  \nReceived: 27 November 2022  \nRevised: 30 December 2022  \nAccepted: 3 January 2023  \nPublished: 7 January 2023  \nCopyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ([https://](https://)[ ](https://)[creativecommons.org/licenses/by/](creativecommons.org/licenses/by/)[ ](creativecommons.org/licenses/by/)[4.0/](4.0/)) .  \n1 Department of Gynecology and Obstetrics, Medical University of Gda ´nsk, 80-210 Gda ´nsk, Poland  \n2 The American Health Information Management Association (AHIMA), 60601-5809 Chicago, IL, USA  \n3 Air Chair, Medical University of Gda ´nsk, 80-210 Gda ´nsk, Poland  \n4 Medicover, Al. Jerozolimskie 96, 00-807 Warszawa, Poland  \n5 Faculty of Medicine, Lazarski University, Swieradowska 43, 02-662 Warsaw, Poland  \n6 Department of Gynecological Oncology, PCK Marine Hospital in Gdynia, 81-519 Gdynia, Poland  \n7 Department of Oncological Propedeutics, Medical University of Gda ´nsk, 80-210 Gda ´nsk, Poland  \n8 Department of Art History, Faculty of History, University of Gdansk, 80-309 Gda ´nsk, Poland  \n9 Department of Statistics, Faculty of Management, University of Gdansk, 81-824 Sopot, Poland  \n10 Mammography Laboratory, HCP Medical Center, Hospital St. John Paul II, 61-001 Poznan, Poland  \n11 Wyspa Medycyny Przyjaznej [The Island of Friendly Medicine], 80-747 Gda ´nsk, Poland  \n12 Amita Health St. Joseph Hospital Chicago, Chicago, IL 60657, USA  \n13 Clinical Department of Gynecology and Obstetrics, City Hospital, 35-241 Rzeszâw, Poland  \n14 Ultrasound Department, Institute of Fundamental Technological Research, Polish Academy of Sciences, 02-106 Warsaw, Poland  \n15 Radiology Department II, Maria Sklodowska-Curie National Research Institute of Oncology, 00-001 Warsaw, Poland  \n* [Correspondence: marcinsniadecki@gumed.edu.pl](Correspondence: marcinsniadecki@gumed.edu.pl); Tel.: +48-501-337-941 † These authors contributed equally to this work.  \nAbstract: The low attendance rate for cancer screening tests in Poland is a major healthcare concern that requires specific analysis and the development of implementation recommendations for prevention, and both actions are likely to benefit culturally similar countries. Four female cancers account for approximately 20% of all cancer cases—breast cancer, cervical cancer, endometrial cancer, and ovarian cancer—suggesting that gynecologists have a significant preventative role. Of the four, breast cancer and cervical cancer are among the 10 most common malignant neoplasms globally, regardless of gender, occur only in women and are known to have effective screening measures. Our research aims to create a screening model that combines cervical cancer","cbCaijCQk7Vf9xLU","https://ap.wps.com/l/cbCaijCQk7Vf9xLU","pdf",979035,"English","# Introduction\n## Breast cancer burden and incidence in younger age groups\n## Cervical cancer burden and incidence by age group","[{\"question\":\"What problem motivates the proposed screening protocol?\",\"answer\":\"Low attendance for cancer screening tests in Poland requires analysis and implementation recommendations for effective prevention programs.\"},{\"question\":\"How does the model combine breast and cervical cancer prevention?\",\"answer\":\"The research aims to create a screening model that maximizes health outcomes for women at risk of both breast and cervical cancers.\"},{\"question\":\"What is the key diagnostic change proposed for breast cancer screening?\",\"answer\":\"Instead of regular clinical breast exams, the protocol proposes ultrasound examination, where palpation may also be performed in the absence of elastography.\"}]","Protocol of Breast Cancer Prevention Model with Addition of Breast Ultrasound to Routine Gynecologic Visits - Received 27 November 2022 | PDF",1790231375,25]