Siegel A J
Prim Care. 1977 Dec;4(4):755-60.
Ultimate responsibility for the early diagnosis of breast cancer rests upon the front line or primary care physician, just as management decisions following diagnosis fall principally upon the surgeon, radiotherapist, and oncologist. The value of mammography as an effective screening test for the early detection of disease has been enthusiastically endorsed over the past several years on the basis of encouraging results of several studies. Serious reservations regarding the safety of mammography as a screening procedure have subsequently been raised. The practicing physician is faced with a serious problem of time lag in gathering information upon which to base clinical decisions. The purpose of this article is to review the pros and cons in the controversy over mammography so that informed decisions can be made on behalf of patients.
乳腺癌早期诊断的最终责任在于一线或基层医疗医生，正如诊断后的治疗决策主要由外科医生、放疗科医生和肿瘤内科医生负责一样。在过去几年里，基于多项研究令人鼓舞的结果，乳房X线摄影作为一种早期疾病检测的有效筛查方法的价值得到了积极认可。随后，人们对乳房X线摄影作为一种筛查程序的安全性提出了严重质疑。执业医生在收集用于临床决策的信息时面临着严重的时间滞后问题。本文的目的是回顾关于乳房X线摄影争议的利弊，以便能为患者做出明智的决策。
