Kuske R R
Dept of Radiation Oncology, Ochsner Clinic, New Orleans.
J La State Med Soc. 1994 Apr;146(4):128-32.
As a result of the increasing utilization of screening mammography, the incidence of noninvasive breast cancers has been steadily climbing. This phenomenon has inspired questions about the biological behavior and natural history of this disease and has sparked a controversy about which patients should be treated by local excision alone or local excision followed by breast irradiation and which patients require a mastectomy for disease-free survival. New data have been published within the past year shedding some light on these issues, but questions remain.
由于乳腺钼靶筛查的使用日益增加，非侵袭性乳腺癌的发病率一直在稳步攀升。这种现象引发了关于该疾病生物学行为和自然史的问题，并引发了一场争议，即哪些患者应仅接受局部切除治疗，哪些患者应在局部切除后接受乳房放疗，以及哪些患者需要进行乳房切除术以实现无病生存。过去一年已发表了一些新数据，为这些问题提供了一些线索，但问题仍然存在。
