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乳腺疾病的大规模筛查。结果、问题与期望。

Mass screening for breast disease. Results, problems, and expectations.

作者信息

Schwartz G F, Feig S A, Libshitz H I, Patchefsky A S, Nerlinger R E, Wallace J D

出版信息

Obstet Gynecol. 1976 Aug;48(2):137-41.

PMID:181701
Abstract

The first 18 months' experience of the Breast Diagnostic Center of Jefferson Medical College have been reviewed. Almost 14,000 patients were screened for breast disease, using a combination of clinical examination. Xeroradiography, and thermography. In this group of 14,000 women, 106 cases of cancer were discovered, in incidence of almost 8 per 1000 women screened. Of these 106 cases of cancer, 45.3% were clinically occult or not recognized by clinical examination, and within this group at the time of mastectomy only a small percent had any evidence of axillary lymph node metastases. The combination of several technics of examination is proving to be more reliable for the early detection of breast cancer than any of the technics alone, and programs such as these may make a significant difference in the death rate from breast cancer.

摘要

对杰斐逊医学院乳腺诊断中心头18个月的经验进行了回顾。使用临床检查、干板X线照相术和热像仪相结合的方法,对近14000名患者进行了乳腺疾病筛查。在这14000名女性中,发现了106例癌症,筛查出的女性中癌症发病率近千分之八。在这106例癌症中,45.3%在临床上隐匿或未被临床检查识别,在这组患者中,乳房切除时只有一小部分有腋窝淋巴结转移的证据。事实证明,几种检查技术相结合比任何一种单独的技术在早期发现乳腺癌方面更可靠,这样的项目可能会对乳腺癌死亡率产生重大影响。

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