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千钧一发:筛查性乳房 X 光造影术在抗击乳腺癌中的作用:女性健康与医学:对中年健康问题的多学科、基于证据的综合回顾。

A close call: the role of screening mammography in the fight against breast cancer: health and medicine for women: a multidisciplinary, evidence-based review of mid-life health concerns.

机构信息

Yale University School of Medicine, New Haven, Connecticut, USA.

出版信息

Yale J Biol Med. 2011 Mar;84(1):43-5.

Abstract

A multidisciplinary panel debated the role of screening mammography in fighting breast cancer during the Health and Medicine for Women continuing medical education (CME) conference at Yale Medical School in September 2010. Different guidelines from professional societies have presented conflicting recommendations for patients regarding both the benefits of mammography and the appropriate age and frequency of screening. In addition, a recent longitudinal study argues that screening mammography may only offer a modest benefit in terms of reducing cancer mortality. In light of these considerations, the panel debated whether mammography should be an informed decision that must be discussed and individualized for each patient based on the context of risk factors such as family history, age, and genetic dispositions.

摘要

在 2010 年 9 月耶鲁医学院的妇女健康与医学继续教育(CME)会议上,一个多学科小组就筛查乳房 X 光检查在抗击乳腺癌方面的作用展开了辩论。不同专业协会的指南为患者提供了关于乳房 X 光检查的益处以及适当的筛查年龄和频率的相互矛盾的建议。此外,最近的一项纵向研究认为,筛查乳房 X 光检查在降低癌症死亡率方面可能只提供适度的益处。有鉴于此,该小组就乳房 X 光检查是否应该成为一项知情决策展开了辩论,该决策必须根据风险因素(如家族史、年龄和遗传倾向)的具体情况,与每位患者进行讨论和个体化。

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