Radiology, Massachusetts General Hospital, 55 Fruit Street, Wang 240, Boston, MA 02114, USA. Electronic address: https://twitter.com/AnandKNarayan.
Department of Radiology, Department of Health Services, Northwest Screening and Cancer Outcomes Research Enterprise, University of Washington, 1144 Eastlake Avenue East, LG-212, Seattle, WA 98109, USA.
Med Clin North Am. 2020 Nov;104(6):1007-1021. doi: 10.1016/j.mcna.2020.08.003.
Among women, breast cancer is the most commonly diagnosed cancer and the leading cause of cancer-related death in the world. The purpose of this article is to review the evidence regarding breast cancer screening for average-risk women. The review primarily focuses on mammographic screening but also reviews clinical breast examinations, emerging screening technologies, and opportunities to build consensus. Wherever possible, the review relies on published systematic reviews, meta-analyses, and guidelines from three major societies (US Preventive Services Task Force, American College of Radiology, and the American Cancer Society) to reflect a range of evidence-based perspectives regarding mammographic screening.
在女性中,乳腺癌是最常见的癌症,也是全球癌症相关死亡的主要原因。本文旨在回顾普通风险女性乳腺癌筛查的证据。该综述主要关注乳腺 X 线筛查,但也回顾了临床乳腺检查、新兴筛查技术以及建立共识的机会。在可能的情况下,该综述依赖于三个主要协会(美国预防服务工作组、美国放射学院和美国癌症协会)发布的系统评价、荟萃分析和指南,以反映关于乳腺 X 线筛查的一系列基于证据的观点。