Can Fam Physician. 1987 Apr;33:915-22.
Consensus is still lacking on guidelines for breast-cancer screening with mammography: who should be screened, how frequently at what age, to what benefits and at what risks. American, Dutch, Swedish and Italian studies spanning the 1960s to the 1980s reveal a benefit from screening (reduced mortality from breast cancer) that occurs unambiguously only in women 50 years of age and over. Physicians who choose to screen mammographically their over-49-year-old female patients must do so with the awareness that to achieve screening benefits, highest-quality mammography equipment and technique are required.
在使用乳房 X 光摄影进行乳腺癌筛查的指南方面,目前仍缺乏共识:应该筛查哪些人、在什么年龄、多频繁、有哪些好处以及有哪些风险。20 世纪 60 年代至 80 年代的美国、荷兰、瑞典和意大利的研究表明,筛查确实有好处(降低乳腺癌死亡率),但这种好处只在 50 岁及以上的女性中明确体现。选择对 49 岁以上的女性患者进行乳房 X 光摄影筛查的医生必须意识到,为了实现筛查的好处,需要使用最高质量的乳房 X 光摄影设备和技术。