Karimi Parisa, Shahrokni Armin, Moradi Sedighe
Johns Hopkins University Bloomberg School of Public Health, Baltimore, USA.
Asian Pac J Cancer Prev. 2013;14(3):2137-9. doi: 10.7314/apjcp.2013.14.3.2137.
Breast cancer is the most common cancer among females, worldwide, accounting for 22.9% of all cancers (excluding non-melanoma skin cancer) in women. Mammography is a sensitive (77-95%) and specific (94-97%) screening method for breast cancer. Previously, females between the 40-50 years old were recommended to have mammograms every one to two years. However, based on current evidence, in 2009, USPSTF recommended that the decision to start regular, biennial screening mammography for females younger than 50 years should be an individual decision and take patient context into account, including patient values regarding specific benefits and harms. This decision was based on findings regarding radiation exposure, false-positive and false-negative rates, over-diagnosis, and pain and psychological responses. The goal of this paper is to focus on evidence for updating the U.S. Preventive Services Task Force (USPSTF) recommendation against routine mammography for females between 40-49 years of age.
乳腺癌是全球女性中最常见的癌症，占女性所有癌症（不包括非黑色素瘤皮肤癌）的22.9%。乳腺X线摄影是一种用于乳腺癌筛查的敏感（77 - 95%）且特异（94 - 97%）的方法。以前，建议40至50岁的女性每1至2年进行一次乳腺X线摄影检查。然而，基于目前的证据，2009年美国预防医学工作组（USPSTF）建议，对于50岁以下女性开始定期每两年进行一次乳腺X线摄影筛查的决定应因人而异，并考虑患者的具体情况，包括患者对特定益处和危害的价值观。这一决定基于有关辐射暴露、假阳性和假阴性率、过度诊断以及疼痛和心理反应的研究结果。本文的目的是聚焦于更新美国预防医学工作组（USPSTF）关于40至49岁女性不进行常规乳腺X线摄影筛查建议的证据。
