Dana-Farber Cancer Institute, 44 Binney Street, Boston, MA 02115, USA.
J Oncol. 2010;2010:595167. doi: 10.1155/2010/595167. Epub 2010 Dec 29.
Breast cancer survival in the USA has continually improved over the last six decades and has largely been accredited to the use of mammography, advanced surgical procedures, and adjuvant therapies. Data indicate, however, that there were substantial improvements in survival in the USA even prior to these technological and diagnostic advances, suggesting important opportunities for early detection and treatment in low- and middle-income countries where these options are often unavailable and/or unaffordable. Thus, while continuing to strive for increased access to more advanced technology, improving survival in these settings should be more immediately achievable through increased awareness of breast cancer and of the potential for successful treatment, a high-quality primary care system without economic or cultural barriers to access, and a well-functioning referral system for basic surgical and hormonal treatment.
美国的乳腺癌存活率在过去六十年中持续提高，这主要归因于乳腺 X 线摄影术的使用、先进的外科手术和辅助治疗。然而，数据表明，即使在美国尚未采用这些技术和诊断方法之前，其存活率也有了实质性的提高，这表明在缺乏这些选择且往往无法获得或负担不起这些选择的低收入和中等收入国家，存在着进行早期检测和治疗的重要机会。因此，虽然我们继续努力争取更多机会获得更先进的技术，但通过提高对乳腺癌的认识以及对成功治疗的可能性的认识，在这些环境中提高存活率应该更容易实现，而无需克服经济或文化障碍即可获得高质量的初级保健系统，以及基本手术和激素治疗的良好转诊系统。
