Williams S M, Kaplan P A, Petersen J C, Lieberman R P
Radiology. 1986 Oct;161(1):49-51. doi: 10.1148/radiology.161.1.3763885.
With the increasing utilization of mammography, young women under age 30 are being referred for mammographic examination more frequently. A review of the mammograms of 76 patients, aged 18-29 years, was conducted to evaluate the clinical utility of the examination in this age group, for whom the probability of malignancy is quite low and the risk of radiation carcinogenesis may not be negligible. In 74% of patients referred for study of a palpable mass, no mass was evident on mammograms. When a mass was seen, the radiographic features did not influence clinical management. Radiologists should inform their clinical colleagues regarding the risks and limitations of mammography in women under age 30 and encourage more frequent utilization of ancillary diagnostic procedures including sonography and diagnostic aspiration.
随着乳腺钼靶检查的使用越来越多，30岁以下的年轻女性被转诊进行乳腺钼靶检查的频率也越来越高。对76例年龄在18至29岁之间的患者的乳腺钼靶照片进行了回顾，以评估该检查在这个年龄组中的临床实用性，因为这个年龄组患恶性肿瘤的概率相当低，而辐射致癌的风险可能不可忽视。在因可触及肿块而转诊进行检查的患者中，74%的患者在乳腺钼靶照片上未发现肿块。当发现肿块时，影像学特征并不影响临床处理。放射科医生应告知其临床同事关于30岁以下女性乳腺钼靶检查的风险和局限性，并鼓励更频繁地使用包括超声检查和诊断性穿刺在内的辅助诊断程序。
