Moskowitz H, Kron E, Hall D
Mount Sinai Hospital, Hartford.
Conn Med. 1993 Dec;57(12):777-80.
Early detection can result in a decrease in the death rate from breast cancer. Screening mammography is the most important modality available to discover early so-called "minimal" cancer. In an effort to make screening mammography more available to the women of north central Connecticut, Mount Sinai Hospital, a community based, university-affiliated hospital initiated a screening program five years ago. During the four-year interval on which we are reporting, we have screened almost 15,000 women using a mobile van. Seventy-seven cancers were discovered in this screened population, with a detection rate of five cancers per 1,000. Our biopsy rate was 1.5% with a positive predictive value of 34%. Sixty-one percent of the tumors discovered were so-called "minimal" cancers and only 12 of the 77 patients had positive lymph nodes.
早期检测可降低乳腺癌死亡率。乳腺钼靶筛查是发现早期所谓“微小”癌症的最重要手段。为了让康涅狄格州中北部的女性更容易进行乳腺钼靶筛查，西奈山医院，一家社区型大学附属医院，于五年前启动了一项筛查计划。在我们报告的四年期间，我们使用一辆移动货车对近15,000名女性进行了筛查。在这个筛查人群中发现了77例癌症，检出率为每1000人中有5例癌症。我们的活检率为1.5%，阳性预测值为34%。发现的肿瘤中有61%是所谓的“微小”癌症，77名患者中只有12名有阳性淋巴结。
