Panoussopoulos D, Chang J, Humphrey L J
Ann Surg. 1977 Sep;186(3):356-62. doi: 10.1097/00000658-197709000-00013.
Mammography is of real assistance to the surgeon in evaluating breast problems not associated with a breast mass. Use of mammography in the detection of early breast cancer in breast demonstration projects has brought forth the time honored value judgement of benefit vs risk. This report introduces an additional aspect in the consideration of benefit vs risk, the interval cancer. From the demonstration project at KUMC, 326 biopsies were performed and 65 proved to be cancer. However, 24 additional women developed cancer before their next recommended screening date. This reduces the accuracy of mammography and physical examination by trained nurses in screening for breast cancer to 73%.
乳腺X线摄影对外科医生评估与乳腺肿块无关的乳腺问题有实际帮助。在乳腺示范项目中使用乳腺X线摄影检测早期乳腺癌引发了关于获益与风险这一由来已久的价值判断。本报告在考虑获益与风险时引入了另一个方面，即间期癌。在堪萨斯大学医学中心的示范项目中，共进行了326例活检，其中65例被证实为癌症。然而，另有24名女性在下次推荐筛查日期之前患上了癌症。这将经过培训的护士进行乳腺癌筛查时乳腺X线摄影和体格检查的准确率降至73%。
