Sagaĭdak V N, Mikhaĭlov E A
Vopr Onkol. 1985;31(1):88-92.
The paper is concerned with an analysis of case histories of 1,873 breast cancer patients treated at the Center. Cancer was diagnosed by medical check-ups in 208 (11%) only, while 1,665 (89%) females detected the lesion themselves. In the former group, the frequency of stage I cancer was twice that of tumors at other stages. However, nearly all patients in that group had the same stage of tumor as the patients who consulted the doctor. Early stage malignancies were detected by mass screenings in as few as 1.5% of the total number of those admitted to the Center clinics for breast cancer treatment. Well-organized follow-up aimed at an early diagnosis of breast cancer proved to be more effective than mass screenings. Many measures aimed at an early diagnosis of breast cancer still fall short of their target and fail to detect many malignancies.
本文关注对该中心治疗的1873例乳腺癌患者病历的分析。仅通过医学检查诊断出癌症的有208例(11%),而1665例(89%)女性是自行发现病变的。在前一组中,I期癌症的发生率是其他阶段肿瘤的两倍。然而,该组中几乎所有患者的肿瘤分期与咨询医生的患者相同。在因乳腺癌治疗而入住中心诊所的患者总数中,通过大规模筛查仅发现了1.5%的早期恶性肿瘤。事实证明,旨在早期诊断乳腺癌的精心组织的随访比大规模筛查更有效。许多旨在早期诊断乳腺癌的措施仍未达到目标,未能检测出许多恶性肿瘤。