Warner E A
Department of Internal Medicine, University of South Florida School of Medicine, Tampa.
Prim Care. 1992 Sep;19(3):575-88.
Breast cancer, as the second leading form of cancer death among women, causes significant morbidity and mortality. The primary care physician can help raise the survival rate of women with breast cancer by providing important screening procedures that will lead to early diagnosis and treatment. Screening mammography and regular breast physical examinations are the current screening procedures of choice. Although there is still considerable debate over the age and interval at which women should undergo screening (see Table 1 for recommendations from various organizations), the primary care physician's recommendation is the single most important factor and will certainly lead to a higher screening rate for women in the greater at-risk age groups. Judicious use of these screening procedures should allow primary care physicians to catch more breast cancers at an early, curable stage.
乳腺癌是女性癌症死亡的第二大主要原因，会导致严重的发病和死亡。初级保健医生可以通过提供重要的筛查程序来帮助提高乳腺癌女性的生存率，这些筛查程序将有助于早期诊断和治疗。乳腺钼靶筛查和定期乳房体格检查是目前首选的筛查程序。尽管对于女性应该在什么年龄以及间隔多久进行筛查仍存在相当大的争议（各组织的建议见表1），但初级保健医生的建议是最重要的单一因素，肯定会提高高危年龄组女性的筛查率。合理使用这些筛查程序应使初级保健医生能够在早期可治愈阶段发现更多乳腺癌。
