Letton A H, Mason E M
Ann Surg. 1986 May;203(5):470-3. doi: 10.1097/00000658-198605000-00004.
Beginning in 1973, the Breast Cancer Detection Demonstration Project at Georgia Baptist Medical Center screened 8058 supposedly asymptomatic volunteers. Those screenees found to have cancer were treated by various surgeons, using all types of treatment with varying expertise. There has been 100% follow-up after 10.5 years. The overall survival is 90.8%. The women over 50 in all categories survived longer than the younger age group. Those women with lesions 1 cm or smaller survived longer than those with larger lesions. The women whose tumor was not palpable clinically and was discovered by roentgenogram had the best survival rates (96.8%). In the less-than-50 age group whose cancer was detected by roentgenogram alone, 88.2% survived 10.5 years, while 100% of the older group is still living. These results do not consider the type of therapy nor the skill with which it was administered and is the result of routine screening only.
从1973年开始,佐治亚浸信会医疗中心的乳腺癌检测示范项目对8058名据称无症状的志愿者进行了筛查。那些被查出患有癌症的受检者由不同的外科医生进行治疗,采用了各种治疗方法,医生的专业水平也各不相同。在10.5年后进行了100%的随访。总体生存率为90.8%。所有类别中50岁以上的女性比年轻年龄组存活时间更长。那些病变为1厘米或更小的女性比病变较大的女性存活时间更长。临床上触不到肿瘤、通过X线检查发现的女性生存率最高(96.8%)。在仅通过X线检查发现癌症的50岁以下年龄组中,88.2%存活了10.5年,而年龄较大组的100%仍在世。这些结果未考虑治疗类型及其实施的技术水平,仅是常规筛查的结果。