Tardivon A
Service de Radiologie, Institut Curie, 26 rue d'Ulm, 75248 Paris cedex 05, France.
J Radiol. 2008 Sep;89(9 Pt 2):1204-8. doi: 10.1016/s0221-0363(08)73931-3.
Digital mammography has to be proposed in women less than 50 years; after 50 years, no significant difference was reported between digital versus film mammography. The follow-up every 2 years is still valid after 50 years in women without other risk factors for breast cancer. Screening with ultrasound seems to have a low impact in the general population, prevalent detection rates of 0.4% were mainly described in series including young women or with multiple risk factors. Annual screening is recommended in women with dense breasts associated with other significant risk factors; MRI use should be decided on a case-by-case basis.
对于50岁以下的女性，建议采用数字化乳腺钼靶检查；50岁以后，数字化乳腺钼靶检查与传统胶片乳腺钼靶检查相比，未报告有显著差异。对于无其他乳腺癌风险因素的50岁以上女性，每两年进行一次随访仍然有效。在普通人群中，超声筛查的影响似乎较小，主要在包括年轻女性或有多种风险因素的系列研究中描述其患病率检测率为0.4%。对于有致密乳腺且伴有其他重大风险因素的女性，建议每年进行筛查；是否使用磁共振成像（MRI）应根据具体情况决定。
