Wolfe J N
Am J Obstet Gynecol. 1976 Feb 1;124(3):312-23. doi: 10.1016/0002-9378(76)90164-2.
Mammography is presented for the primarily nonradiologic audience. A brief historical review calls attention to some of the milestones in mammography and how it has changed. Xerororadiography is discussed, as it is one of the newer developments and is rapidly gaining broad acceptance in the United States. Clinical applications are included, with a discussion of the various entities which the radiologist can identify on the mammogram. Although the mammographic examination can be extremely accurate in the hands of interested examiners, some carcinomas will not be identified; of these, some can be discovered by routine physical examination. If mammography is made to stand alone, without a physical examination, some women with breast cancer will not be identified and will not receive prompt, adequate treatment. Mammography is an adjunct and a complement to the physical examination. Breast cancer screening appears to be effective in finding small, nonpalpable tumors, many very early in their growth. Definite evidence is now available that early diagnosis of breast cancer leads to prolonged survival. There is promise of further developments in the field of mammography.
本文是面向主要非放射科受众介绍乳腺钼靶摄影。简短的历史回顾着重介绍了乳腺钼靶摄影的一些里程碑事件及其发展变化。文中讨论了干板乳腺摄影，因为它是较新的发展成果之一，且正在美国迅速获得广泛认可。内容包括临床应用，并探讨了放射科医生在乳腺钼靶片上能够识别的各种病变。尽管在感兴趣的检查人员手中，乳腺钼靶检查可能极其准确，但仍有一些癌症无法被识别；其中一些可通过常规体格检查发现。如果仅依靠乳腺钼靶检查而没有体格检查，一些乳腺癌女性将无法被识别，也无法得到及时、充分的治疗。乳腺钼靶摄影是体格检查的辅助手段和补充。乳腺癌筛查似乎能有效发现微小、触诊不到的肿瘤，其中许多在生长早期就能被发现。现在有确凿证据表明，乳腺癌的早期诊断可延长生存期。乳腺钼靶摄影领域有望取得进一步发展。
