Forrest A P
World J Surg. 1989 Jan-Feb;13(1):19-24. doi: 10.1007/BF01671149.
The early detection of breast cancer by mammographic screening reduces the mortality of the disease. In the United Kingdom, a national screening service is being established for women 50-64 years of age by single mediolateral oblique mammography every 3 years. It is stressed that the basic mammograph is only the first stage in the screening procedure. The multidisciplinary assessment of mammographic abnormalities is a second critical step by which the need for biopsy is determined. The surgeons involved in screening programs must also appreciate the significance of the methods of assessment used. They must also be knowledgeable of the methods for biopsy of impalpable lesions and of the treatment of the noninvasive and small-invasive cancers. Ideally, they should be full members of the multidisciplinary team responsible for the program. These roles are reviewed.
通过乳房X线筛查早期发现乳腺癌可降低该病的死亡率。在英国，正在为50至64岁的女性建立一项全国性筛查服务，每3年进行一次单侧内外侧斜位乳房X线摄影。需要强调的是，基本的乳房X线检查仅仅是筛查程序的第一步。对乳房X线异常情况进行多学科评估是确定是否需要活检的第二个关键步骤。参与筛查项目的外科医生还必须认识到所采用评估方法的重要性。他们还必须了解对不可触及病变进行活检的方法以及对非侵袭性和小侵袭性癌症的治疗方法。理想情况下，他们应该是负责该项目的多学科团队的正式成员。本文对这些职责进行了综述。
