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乳腺癌筛查。

Breast-cancer screening.

出版信息

Can Fam Physician. 1987 Apr;33:915-22.

Abstract

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.

摘要

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。

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Breast-cancer screening.乳腺癌筛查。
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本文引用的文献

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Mammography.乳房X线摄影术
Can Med Assoc J. 1980 Jul 19;123(2):94-8.
2
Radiation detection and diagnosis of breast cancer.乳腺癌的放射检测与诊断。
Cancer. 1981 Apr 1;47(7):1766-9. doi: 10.1002/1097-0142(19810401)47:7<1766::aid-cncr2820470707>3.0.co;2-u.
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Cancer preventive screening behavior among elderly women.老年女性的癌症预防筛查行为
Prev Med. 1982 Jul;11(4):454-63. doi: 10.1016/0091-7435(82)90048-2.
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Evidence of breast cancer mortality reduction: aggressive screening in women under age 50.
AJR Am J Roentgenol. 1982 May;138(5):911-6. doi: 10.2214/ajr.138.5.911.
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Radiographic screening for breast carcinoma. I. Program and primary findings in 45--69 year old women.
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Risk factors for breast cancer: relevance to screening.乳腺癌的风险因素:与筛查的相关性。
J Epidemiol Community Health. 1983 Jun;37(2):127-31. doi: 10.1136/jech.37.2.127.
9
A different perspective on breast cancer risk factors: some implications of the nonattributable risk.
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