Benedict S, Williams R D, Baron P L
College of Nursing, Medical University of South Carolina, Charleston.
Oncol Nurs Forum. 1994 Oct;21(9):1467-75.
PURPOSE/OBJECTIVES: To determine the effect of benign breast biopsy results on the frequency of subsequent breast self-examination (BSE), mammograms, and clinical examinations.
Retrospective, descriptive design.
Two surgical oncology practices of an academic health science center in the southeastern United States and one surgical oncology practice and three family practices in another southern U.S. city.
A nonprobability sample consisting of 238 women with benign breast biopsies and a comparison group of 243 women with no histories of breast disease.
Questionnaires based on American Cancer Society (ACS) breast cancer detection guidelines were designed and mailed to all women who had benign breast biopsies within the past three years at the academic health science center. Similar questionnaires were mailed to women randomly selected from three family practices who had no histories of breast disease. Chi-square, Kruskal-Wallis one-way analysis of variance, and Wilcoxon matched pairs signed-ranks test were used in the data analysis.
Frequency of breast cancer detection practices including BSE, mammography, and clinical breast examinations.
In the group that had undergone biopsies, breast abnormalities were found by mammogram (38.8%), BSE (28.3%), clinical examination (16.9%), and accidental discovery (8.7%). The percentage of women performing monthly BSE increased from 47.4% to 67.3% postbiopsy (p < 0.0001). The frequency of mammography and clinical breast examinations also significantly increased postbiopsy (p < 0.0001). Similarly, the postbiopsy rate of BSE, mammography, and clinical breast examinations was higher than the rates for the control group. Women whose breast abnormalities were found by mammography became significantly more fearful of mammography (p < 0.05).
Benign breast biopsies are associated with increased breast cancer detection practices.
All women need to follow ACS guidelines for breast cancer detection. Women who have undergone breast biopsy may be unduly afraid about the results of future detection practices and may need support and encouragement.
目的/目标：确定良性乳腺活检结果对后续乳房自我检查（BSE）、乳房X光检查和临床检查频率的影响。
回顾性描述性设计。
美国东南部一所学术健康科学中心的两个外科肿瘤学诊所，以及美国另一个南部城市的一个外科肿瘤学诊所和三个家庭诊所。
一个非概率样本，由238名接受过良性乳腺活检的女性和一个由243名无乳腺疾病史的女性组成的对照组。
根据美国癌症协会（ACS）乳腺癌检测指南设计问卷，并邮寄给在学术健康科学中心过去三年内接受过良性乳腺活检的所有女性。类似的问卷被邮寄给从三个无乳腺疾病史的家庭诊所中随机挑选的女性。数据分析采用卡方检验、Kruskal-Wallis单因素方差分析和Wilcoxon配对符号秩检验。
乳腺癌检测方法的频率，包括BSE、乳房X光检查和临床乳腺检查。
在接受活检的组中，通过乳房X光检查发现乳腺异常的比例为38.8%，通过BSE发现的比例为28.3%，通过临床检查发现的比例为16.9%，偶然发现的比例为8.7%。活检后每月进行BSE的女性比例从47.4%增加到67.3%（p<0.0001）。活检后乳房X光检查和临床乳腺检查的频率也显著增加（p<0.0001）。同样，活检后BSE、乳房X光检查和临床乳腺检查的比率高于对照组。通过乳房X光检查发现乳腺异常的女性对乳房X光检查的恐惧明显增加（p<0.05）。
良性乳腺活检与增加乳腺癌检测方法有关。
所有女性都需要遵循ACS乳腺癌检测指南。接受过乳腺活检的女性可能会过度担心未来检测结果，可能需要支持和鼓励。
