Devitt J E
Can Med Assoc J. 1977 May 21;116(10):1127-8.
A review of the histories of 1059 patients with breast problems seen consecutively in office consultation revealed an incidence of breast cancer of 13%. Patients over 50 years of age or whose mother or sister had had breast cancer had a substantially greater likelihood of having breast cancer. The finding of the problem on routine examination, a family history of breast cancer in a relative other than the mother or a sister, or prominent breast pain or nipple discharge made the diagnosis of cancer less likely. Menstrual status, a history of previous benign disease, nulliparity, current hormone therapy and duration of symptoms did not help identify the patient likely to have breast cancer. Much time could be saved for both doctor and patient in taking the history from patients with breast disorders. Only the patient's age and the history of the mother and sisters with regard to breast cancer will help identify the "high-risk" patient. Other historical findings are either valueless or should be used to reassure these usually anxious women.
对在门诊连续就诊的1059例有乳腺问题的患者病史进行回顾，发现乳腺癌发病率为13%。50岁以上的患者或其母亲或姐妹曾患乳腺癌的患者患乳腺癌的可能性要大得多。在常规检查中发现问题、母亲或姐妹以外的亲属有乳腺癌家族史、明显的乳房疼痛或乳头溢液使癌症诊断的可能性降低。月经状况、既往良性疾病史、未生育、目前的激素治疗及症状持续时间无助于识别可能患有乳腺癌的患者。在询问乳腺疾病患者病史时，医生和患者都可以节省大量时间。只有患者的年龄以及母亲和姐妹的乳腺癌病史有助于识别“高危”患者。其他病史发现要么毫无价值，要么应用于安抚这些通常焦虑的女性。
