Stewart G R, Ryan J, Raffles B, West R
Med J Aust. 1977 Sep 24;2(13):419-23. doi: 10.5694/j.1326-5377.1977.tb114592.x.
One thousand referred patients with breast symptoms, a history of breast disease, or a family history of breast carcinoma have been examined at a suburban breast clinic. This is a preliminary survey of the data and results so far obtained from the initial examination of these patients. The examination consisted of history-taking by means of a questionnaire, physical examination of the breasts, thermography and xeromammography. A report correlating the findings was forwarded to the referring doctor in each case and any necessary action was indicated in the report. Seventy-eight patients were thought to require biopsy of a suspicious lump or mammographic lesion (7.8% of the total number); 76 patients actually had biopsies, and 18 patients were found to have carcinoma of the breast (23.8% of the total number of patients who had biopsies). The overall incidence of carcinoma in the 1000 women attending the clinic was 1.8% at the initial visit. While general population screening for breast carcinoma may be hard to justify, from both the detection rate and an economic point of view, it would appear from our experience to date that screening of selected high-risk referred patients is justified and, in fact, desirable.
一千名有乳房症状、乳房疾病史或乳腺癌家族史的转诊患者在一家郊区乳房诊所接受了检查。这是对目前从这些患者的初步检查中获得的数据和结果的初步调查。检查包括通过问卷进行病史采集、乳房体格检查、热成像和干板乳房摄影。一份将各项检查结果关联起来的报告被转发给每位转诊医生，报告中指出了任何必要的措施。78名患者被认为需要对可疑肿块或乳房X线摄影病变进行活检（占总数的7.8%）；76名患者实际接受了活检，其中18名患者被发现患有乳腺癌（占接受活检患者总数的23.8%）。在初次就诊时，前来该诊所的1000名女性中乳腺癌的总体发病率为1.8%。虽然从检出率和经济角度来看，对普通人群进行乳腺癌筛查可能难以自圆其说，但从我们目前的经验来看，对选定的高危转诊患者进行筛查是合理的，而且实际上是可取的。
