Rimsten A, Stenkvist B
Ann Chir Gynaecol Fenn. 1975;64(6):353-8.
The occurence of delay in the diagnosis of breast cancer was investigated in 115 women with breast cancer. Earlier breast disease and earlier consultations for breast symptoms were thoroughly inquired about and analysed. The part of "diagnostic delay" referred to "doctor's delay" occurred in one fifth of the breast cancer patients but in one third of the patients under 50 years of age compared to one seventh of the patients over 50 years. The reasons for delay were: incomplete investigation of palpable or suspected breast tumour, non-representativeness of surgical biopsy or of slides taken for histopathological examination, underestimation of atypia at histopathological examination, unsatisfactory follow-up after biopsy of suspected tumour.
对115例乳腺癌女性患者的乳腺癌诊断延迟情况进行了调查。详细询问并分析了既往乳腺疾病史以及因乳腺症状更早进行的咨询情况。“诊断延迟”中的“医生延迟”部分在五分之一的乳腺癌患者中出现,但在50岁以下患者中占三分之一,而在50岁以上患者中占七分之一。延迟的原因包括:对可触及或疑似乳腺肿瘤的检查不完整、手术活检或用于组织病理学检查的切片不具代表性、组织病理学检查时对异型性的低估、对疑似肿瘤活检后的随访不满意。