Bucchi Lauro
Registro tumori dell'Emilia-Romagna, Unità della Romagna, IRCCS Istituto romagnolo per lo studio dei tumori (IRST) Dino Amadori, Meldola (FC);
Epidemiol Prev. 2023 May-Jun;47(3):198-202. doi: 10.19191/EP23.3.A634.035.
In Italy, the extension of the age range eligible for mammography screening to 45-74 years was accepted by national guidelines in 2006, much earlier than elsewhere in Europe. The ultimate rationale was to increase the modest proportion of screen-detected cancers out of total incident breast cancers in the general female population. This comment aims to emphasize that extending the reach of the mammography age boundaries to include younger and older women is not the only way to enlarge the protection of screening upon the female population. Another, and complementary, option is to extend to specialist breast centres some of the main cornerstones of the theory of mammography screening, that is, the adherence to evidence-based guidelines, the monitoring and publication of results of breast cancer control at the population level, the taking of responsibility for the observed failures, and the adoption of proper actions.
在意大利，2006年国家指南将符合乳腺钼靶筛查的年龄范围扩大至45 - 74岁，这比欧洲其他地方要早得多。最终的理由是提高普通女性人群中通过筛查发现的癌症在全部新发乳腺癌中所占的适度比例。本评论旨在强调，扩大乳腺钼靶检查年龄界限以涵盖更年轻和更年长女性并非扩大筛查对女性人群保护范围的唯一途径。另一种互补的选择是将乳腺钼靶筛查理论的一些主要基石推广到专科乳腺中心，即坚持循证指南、监测并公布人群层面乳腺癌控制结果、对观察到的失败负责以及采取适当行动。
