Standertskjöld-Nordenstam C G, Svinhufvud U
Ann Chir Gynaecol. 1980;69(2):48-53.
Two-picture mammography was performed as a routine diagnostic measure in the evaluation of 1119 consecutive patients (97.9% of which were women), who attended the hospital with breast symptoms 67.8% also had fine needle aspiration biopsy. The sensitivity of mammography in diagnosing the 97 carcinomas was 91.8%, the specificity was 95.6%. The false negative findings on mammography constituted 8.2% of the 97 carcinomas, aspiration biopsy was falsely negative in 25.7% of 70 carcinomas. Mammography was found to be valuable in distinguishing malignant from benign lesions with a high degree of accuracy, in localizing both palpable and occult lesions prior to aspiration or open biopsy, as well as in demonstrating the entire symptomatic breast and also the other breast for diagnosis. Of all the women 23.6% were under 30 years of age, but in this group only one carcinoma was found. It is suggested that mammography should not be performed in women with breast symptoms under 30, unless ther is suspicion of malignancy. Mammography of both breast should, on the other hand, be performed in all those over 30 years.
对1119例连续就诊的患者（其中97.9%为女性）进行了双乳钼靶摄影，作为常规诊断手段，这些患者因乳腺症状前来就诊，67.8%的患者还接受了细针穿刺活检。钼靶摄影诊断97例癌的敏感性为91.8%，特异性为95.6%。钼靶摄影的假阴性结果占97例癌的8.2%，70例癌中细针穿刺活检假阴性率为25.7%。发现钼靶摄影在以高度准确性区分恶性与良性病变、在穿刺或开放活检前定位可触及和隐匿性病变以及显示整个有症状乳腺及对侧乳腺以进行诊断方面具有重要价值。所有女性中23.6%年龄在30岁以下，但该组仅发现1例癌。建议30岁以下有乳腺症状的女性除非怀疑有恶性病变，否则不应进行钼靶摄影。另一方面，所有30岁以上的女性均应进行双乳钼靶摄影。
