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乳腺癌筛查中的乳房 X 光摄影:一种观点。

Mammography in screening for breast cancer: a viewpoint.

出版信息

Can Fam Physician. 1982 Mar;28:507-10.

Abstract

Controversy exists over the usefulness of mammographic screening for breast cancer. A discussion of the risk-benefit analysis and high risk women profile help the family physician in making a decision about who should be screened with mammography. Although earlier clinical trials show no benefit, and possible risks, of screening women under age 50, current techniques of mammography subject women to far less radiation and presumably far less risk. Based on this evidence, there is merit in screening women aged 40-49 with mammography every two to three years.

摘要

对于乳腺癌的乳房 X 光筛查是否有用存在争议。讨论风险效益分析和高危女性特征有助于家庭医生决定谁应该进行乳房 X 光筛查。虽然早期临床试验显示,对 50 岁以下的女性进行筛查没有益处,且可能存在风险,但目前的乳房 X 光技术使女性接受的辐射量要少得多,风险也相应降低。基于这一证据,对 40-49 岁的女性每两到三年进行一次乳房 X 光筛查是有价值的。

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本文引用的文献

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Estimating cancer risks from low doses of ionizing radiation.低剂量电离辐射致癌风险评估
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Mammography.乳房X线摄影术
Can Med Assoc J. 1980 Jul 19;123(2):94-8.
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Effects of low-level radiation and comparative risk.低水平辐射的影响及比较风险。
Radiology. 1981 Jan;138(1):1-9. doi: 10.1148/radiology.138.1.7005937.
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Mammography: a contrary view.乳腺摄影术:一种不同的观点。
Ann Intern Med. 1976 Jan;84(1):77-84. doi: 10.7326/0003-4819-84-1-77.
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Breast-cancer screening: a view from outside the controversy.乳腺癌筛查:争议之外的视角
N Engl J Med. 1977 Nov 10;297(19):1063-5. doi: 10.1056/NEJM197711102971911.
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The value of breast screening in women less than fifty years of age.五十岁以下女性进行乳房筛查的价值。
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Risk versus benefit in mammography.乳腺钼靶检查的风险与获益
Radiology. 1977 Jul;124(1):1-6. doi: 10.1148/124.1.1.
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Editorial: Risks vs. benefits in breast cancer diagnosis.社论:乳腺癌诊断中的风险与益处
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