Margolies Laurie
Department of Radiology, Mount Sinai School of Medicine, New York, NY, USA.
Mt Sinai J Med. 2010 Jul-Aug;77(4):398-404. doi: 10.1002/msj.20194.
Recently, the US Preventive Services Task Force (USPSTF) guidelines concerning analog screening mammography were revised. Despite the breast cancer death rate falling by 30% since 1990 and mammography receiving the lion's share of credit for the decrease, the USPSTF no longer advises routine screening mammography for women aged 40-49. Biennial screening is advised for those aged 50-74. The USPSTF did not make a recommendation regarding screening those aged > or = 75. The recommendations do not cover digital mammography. It is necessary for primary care providers to understand the data so they can assist patients making decisions about breast cancer screening.
最近,美国预防服务工作组(USPSTF)关于乳腺钼靶筛查的指南进行了修订。尽管自1990年以来乳腺癌死亡率下降了30%,且乳腺钼靶检查在这一下降中占了最大功劳,但USPSTF不再建议40至49岁的女性进行常规乳腺钼靶筛查。建议50至74岁的女性每两年进行一次筛查。USPSTF未就75岁及以上人群的筛查给出建议。这些建议不涵盖数字乳腺钼靶检查。初级保健提供者有必要了解这些数据,以便他们能够帮助患者做出关于乳腺癌筛查的决策。