Cawson J, Billson V, Russell I
Department of Radiology, Essendon and District Memorial Hospital, Moonee Ponds, Victoria, Australia.
Aust N Z J Surg. 1993 Jul;63(7):551-3. doi: 10.1111/j.1445-2197.1993.tb00450.x.
Women with proven breast cancer are at high risk for development of a second breast malignancy or a recurrence. An important component of clinical care is regular mammographic follow up, to enable preclinical diagnosis and avoid delay in treatment. One hundred and forty-two women with previous breast cancer attended a pilot mammographic screening program. Eleven had suspicious mammographic lesions, all clinically occult; nine breast cancers were diagnosed (two recurrences and seven new tumours). The cancer detection rate in this high-risk group of women was 6.3%, compared with 0.8% in 16,283 women screened with no history of breast cancer. Examination of the mammographic history of the 142 women showed that mammography was used infrequently as part of their clinical surveillance, and this led to a delay in diagnosis of the new or recurrent cancer. Recommendations for an appropriate regimen for use of mammography in new and established cases of breast cancer are made.
确诊患有乳腺癌的女性发生第二种乳腺恶性肿瘤或复发的风险很高。临床护理的一个重要组成部分是定期进行乳房X光检查随访，以便能够进行临床前诊断并避免治疗延误。142名曾患乳腺癌的女性参加了一项乳房X光筛查试点项目。其中11人乳房X光检查发现可疑病变，均为临床隐匿性病变；确诊9例乳腺癌（2例复发和7例新发肿瘤）。该高危女性群体的癌症检出率为6.3%，而在16283名无乳腺癌病史的筛查女性中这一比例为0.8%。对这142名女性的乳房X光检查病史进行检查发现，乳房X光检查很少作为她们临床监测的一部分使用，这导致了新发或复发性癌症的诊断延迟。文中针对乳腺癌新发病例和确诊病例使用乳房X光检查的适当方案提出了建议。
