Humphrey L L, Ballard D J
Department of Internal Medicine and Preventive Medicine, Mayo Clinic, Rochester, Minnesota.
Prim Care. 1989 Mar;16(1):115-32.
Breast self-exam, clinical breast exam and mammography are the primary screening modalities for the early detection of breast cancer. In this article, we review the epidemiology of breast cancer and methodologic considerations in screening for breast cancer. For each screening modality, we assess the evidence for its effectiveness in reducing breast cancer mortality. For each modality we also discuss the limitations, cost/benefit considerations, utilization, and published recommendations for use. This article is intended to facilitate primary care providers in decision-making regarding the early detection of breast cancer.
乳房自我检查、临床乳房检查和乳房X光检查是早期发现乳腺癌的主要筛查方式。在本文中，我们回顾了乳腺癌的流行病学以及乳腺癌筛查中的方法学考量。对于每种筛查方式，我们评估其在降低乳腺癌死亡率方面有效性的证据。对于每种方式，我们还讨论了其局限性、成本效益考量、应用情况以及已发表的使用建议。本文旨在帮助初级保健提供者在乳腺癌早期检测方面做出决策。
