Haberthür F, Saurenmann E, Schmid J
Universität-Frauenklinik, Basel.
Schweiz Rundsch Med Prax. 1990 Dec 27;79(52):1644-8.
The regular self-examination of the breast is one of the possibilities to detect breast cancer early. Our aim was to test the sensitivity of the method on rural, poorly informed patients. Almost one fourth of the 90 cancer patients belonged to the self-examination group. 52% of these women had a stage-I tumor. 58% of the women who didn't examine themselves entered hospital with stage-III or stage-IV tumor. In the self-examination group, in 71% of the lymph nodes were negative. This cohort showed also a better result concerning tumor extension. The average size was 1.9 cm compared to 3.8 cm in the 'non-analyser group'. We summarize that women controlling themselves have a better prognosis. Therefore, self-examination, combined with mammography and clinical control, is one of the best methods for early detection of mammary-cancer.
定期进行乳房自我检查是早期发现乳腺癌的方法之一。我们的目的是测试该方法对农村地区信息匮乏患者的敏感性。90名癌症患者中近四分之一属于自我检查组。这些女性中有52%患有I期肿瘤。未进行自我检查的女性中有58%入院时患有III期或IV期肿瘤。在自我检查组中，71%的淋巴结呈阴性。该队列在肿瘤扩散方面也显示出更好的结果。平均大小为1.9厘米，而“非检查组”为3.8厘米。我们总结认为，进行自我检查的女性预后更好。因此，自我检查与乳房X光检查和临床检查相结合，是早期发现乳腺癌的最佳方法之一。
