Hogben Rosalyn Katy F
Department of Breast Surgery, Charing Cross Hospital, Imperial Healthcare NHS Trust, London, UK.
Curr Opin Obstet Gynecol. 2008 Dec;20(6):545-9. doi: 10.1097/GCO.0b013e3283186fab.
This year, the National Health Service Breast Screening Programme in the UK (NHSBSP) celebrates its 20th anniversary. Since 1988, it has evolved with the help of randomized control studies to become more efficient at picking up in-situ disease and small invasive cancers. This review will address these new developments and discuss their impact on screening.
The introduction of extra mammographic views, the reading of films by two specialists and digital mammography as well as age extension have all made significant differences to the detection of breast cancer through screening. A discussion of how less obvious factors such as organization and structure as well as rigorous national audit have improved matters is also included. Controversial topics such as the screening interval and screening women under 50 will also be addressed in this review.
Population-based breast screening will continue to evolve in England. It is unique and with its annual national audit it continues to drive the development of breast services nationally.
今年，英国国家医疗服务体系乳腺癌筛查项目（NHSBSP）迎来了其20周年庆典。自1988年以来，在随机对照研究的帮助下，该项目不断发展，在发现原位疾病和小的浸润性癌方面变得更加高效。本综述将阐述这些新进展，并讨论它们对筛查的影响。
增加乳腺X线摄影投照体位、由两名专家阅片、采用数字乳腺摄影以及延长筛查年龄，所有这些在通过筛查检测乳腺癌方面均产生了显著差异。本综述还讨论了诸如组织架构以及严格的国家审计等不太明显的因素如何改善了筛查情况。诸如筛查间隔以及对50岁以下女性进行筛查等有争议的话题也将在本综述中予以探讨。
在英格兰，基于人群的乳腺癌筛查将继续发展。它独具特色，并且通过年度国家审计持续推动全国乳腺服务的发展。
