Radiology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
J Breast Imaging. 2024 Sep 11;6(5):457-464. doi: 10.1093/jbi/wbae031.
Early detection decreases deaths from breast cancer. Yet, there are conflicting recommendations about screening mammography by major professional medical organizations, including the age and frequency with which women should be screened. The controversy over breast cancer screening is centered on 3 main points: the impact on mortality, overdiagnosis, and false positive results. Some studies claim that adverse psychological effects such as anxiety or distress are caused by screening mammography. The purpose of this article is to address negative breast cancer screening concerns including overdiagnosis and overtreatment, effect on mortality, false positive results, mammography-related anxiety, and fear of radiation.
早期发现可降低乳腺癌死亡率。然而,主要的专业医学组织在筛查乳房 X 光摄影方面的建议存在冲突,包括女性应接受筛查的年龄和频率。乳腺癌筛查的争议主要集中在三个方面:对死亡率的影响、过度诊断和假阳性结果。一些研究声称,筛查乳房 X 光摄影会导致焦虑或困扰等不良心理影响。本文的目的是解决与过度诊断和过度治疗、对死亡率的影响、假阳性结果、与乳房 X 光摄影相关的焦虑以及对辐射的恐惧等负面乳腺癌筛查相关的问题。