乳腺癌筛查：巴西放射学与诊断成像学会、巴西乳腺疾病协会以及巴西妇产科协会联合会的更新建议
Breast cancer screening: updated recommendations of the Brazilian College of Radiology and Diagnostic Imaging, Brazilian Breast Disease Society, and Brazilian Federation of Gynecological and Obstetrical Associations.
作者信息
Urban Linei Augusta Brolini Dellê, Chala Luciano Fernandes, Bauab Selma di Pace, Schaefer Marcela Brisighelli, Dos Santos Radiá Pereira, Maranhão Norma Medicis de Albuquerque, Kefalas Ana Lucia, Kalaf José Michel, Ferreira Carlos Alberto Pecci, Canella Ellyete de Oliveira, Peixoto João Emílio, de Amorim Heverton Leal Ernesto, de Camargo Junior Helio Sebastião Amâncio
机构信息
Coordinator of the National Mammography Commission, Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR), São Paulo, SP, Brazil.
Member of the National Mammography Commission, Representative of the Colégio Brasileiro de Radiologia e Diagnóstico por Imagem (CBR), São Paulo, SP, Brazil.
出版信息
Radiol Bras. 2017 Jul-Aug;50(4):244-249. doi: 10.1590/0100-3984.2017-0069.
OBJECTIVE
To present the current recommendations for breast cancer screening in Brazil, as devised by the Brazilian College of Radiology and Diagnostic Imaging, the Brazilian Breast Disease Society, and the Brazilian Federation of Gynecological and Obstetrical Associations.
MATERIALS AND METHODS
We analyzed scientific studies available in the Medline and Lilacs databases. In the absence of evidence, the recommendations reflected the consensus of a panel of experts.
RECOMMENDATIONS
Annual mammography screening is recommended for women 40-74 years of age. Among women ≥ 75 years of age, annual mammography screening should be reserved for those with an expected survival > 7 years. Complementary ultrasound should be considered for women with dense breasts. Complementary magnetic resonance imaging is recommended for women at high risk. When available, an advanced form of mammography known as tomosynthesis can be considered as a means of screening for breast cancer.
目的
介绍由巴西放射学与诊断成像学会、巴西乳腺疾病协会以及巴西妇产科协会联合会制定的巴西当前乳腺癌筛查建议。
材料与方法
我们分析了Medline和Lilacs数据库中的科学研究。在缺乏证据的情况下，这些建议反映了专家小组的共识。
建议
建议40至74岁的女性进行年度乳腺钼靶筛查。对于75岁及以上的女性，年度乳腺钼靶筛查应仅适用于预期生存期超过7年的女性。对于乳腺致密的女性，应考虑进行补充超声检查。建议高危女性进行补充磁共振成像检查。如有条件，一种称为断层合成的先进乳腺钼靶检查形式可被视为乳腺癌筛查手段。
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