Byrd B F, Hartmann W H
Department of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Semin Surg Oncol. 1988;4(4):221-5. doi: 10.1002/ssu.2980040405.
The Action and Planning Committee on Breast Cancer Control was formed in 1970 by the American Cancer Society, based on their earlier successful experience with early-detection programs for uterine cancer. The original intention was to support 12 centers for 2 years, but with the passage of the Conquest of Cancer Act in 1971, and the consequent availability of more funds for cancer programs, the American Cancer Society and the National Cancer Institute decided jointly to expand the program to 27 Breast Cancer Detection Demonstration Project Centers, with 280,000 women participating, who would be examined annually for 5 years. Data from the examinations, which included history, physical examination, mammogram, and thermogram, were subjected to a continuing computer analysis. The thermogram was deleted after the second year. Although patients were randomly selected, there was an almost identical number of subjects in two age groups--35-49 years and 50-75 years. The results of the study are presented, and the importance of the program's efforts at breast self-examination education as contained in the program's original protocol, is discussed.
乳腺癌控制行动与规划委员会于1970年由美国癌症协会成立，其依据的是该协会早期在子宫癌早期检测项目上取得的成功经验。最初的设想是为12个中心提供两年的支持，但随着1971年《攻克癌症法案》的通过，以及随之而来的癌症项目资金增加，美国癌症协会和美国国立癌症研究所决定共同将该项目扩大到27个乳腺癌检测示范项目中心，有28万名女性参与，她们将在5年时间里每年接受检查。检查数据包括病史、体格检查、乳房X光片和热像图，这些数据会持续进行计算机分析。热像图在第二年之后不再使用。尽管患者是随机挑选的，但两个年龄组（35至49岁和50至75岁）的受试者数量几乎相同。本文展示了该研究的结果，并讨论了该项目在其原始方案中所包含的乳房自我检查教育工作的重要性。
