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在乘坐县健康服务车接受乳房X光检查的女性中,乳房活检建议的结果。

Outcomes of recommendations for breast biopsies in women receiving mammograms from a county health van.

作者信息

Kann P E, Bradley C, Lane D S

机构信息

Department of Preventive Medicine, School of Medicine, State University of New York at Stony Brook 11794-8036, USA.

出版信息

Public Health Rep. 1998 Jan-Feb;113(1):71-4.

PMID:9475937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1308371/
Abstract

OBJECTIVE

To describe the outcomes of breast biopsy recommendations for women screened through a mobile mammography van.

METHODS

Data on all women screened through the Mobile Mammography Program in Suffolk County, Long Island, NY, from 1990 to 1994 were analyzed to determine biopsy recommendation rates, biopsy rates, positive biopsy rates, and cancer detection rates. Follow-up information was obtained from the women's physicians.

RESULTS

The breast cancer detection rate for women screened through the Mobile Mammography Program averaged 0.33% over a five-year period. The biopsy recommendation rate based on abnormal mammograms remained stable, at about 1% to 2%, over a five-year period, as did the rate of positive biopsies among women having biopsies (36.8% to 44.4%). For women ages 50 and older, the cancer rate in 1994 was 0.36%, while for women younger than age 50, the cancer rate was 0.25% (0.32% for all ages).

CONCLUSIONS

These findings show that a breast cancer screening program using a mobile van can have comparable cancer detection rates to national figures and a fairly stable biopsy recommendation rate from which follow-up resource needs can be estimated.

摘要

目的

描述通过移动乳腺摄影车进行筛查的女性的乳腺活检建议结果。

方法

对1990年至1994年在纽约州长岛萨福克县通过移动乳腺摄影项目进行筛查的所有女性的数据进行分析,以确定活检建议率、活检率、活检阳性率和癌症检出率。随访信息从女性的医生处获得。

结果

通过移动乳腺摄影项目进行筛查的女性的乳腺癌检出率在五年期间平均为0.33%。基于乳房X光片异常的活检建议率在五年期间保持稳定,约为1%至2%,接受活检的女性中的活检阳性率也是如此(36.8%至44.4%)。对于50岁及以上的女性,1994年的癌症率为0.36%,而对于年龄小于50岁的女性,癌症率为0.25%(所有年龄的癌症率为0.32%)。

结论

这些发现表明,使用移动车的乳腺癌筛查项目可以具有与全国数据相当的癌症检出率,以及相当稳定的活检建议率,据此可以估计后续资源需求。

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本文引用的文献

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The mammography audit: a primer for the mammography quality standards act (MQSA).乳腺钼靶检查审核:乳腺钼靶质量标准法案(MQSA)入门指南
AJR Am J Roentgenol. 1995 Jul;165(1):19-25. doi: 10.2214/ajr.165.1.7785586.
2
Screening mammography in community practice: positive predictive value of abnormal findings and yield of follow-up diagnostic procedures.社区实践中的乳腺钼靶筛查:异常结果的阳性预测值及后续诊断程序的产出
AJR Am J Roentgenol. 1995 Dec;165(6):1373-7. doi: 10.2214/ajr.165.6.7484568.
3
Breast cancer screening practices among users of county-funded health centers vs women in the entire community.县资助的健康中心使用者与整个社区女性的乳腺癌筛查行为
Am J Public Health. 1992 Feb;82(2):199-203. doi: 10.2105/ajph.82.2.199.
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Breast cancer screening.乳腺癌筛查
Prim Care. 1992 Sep;19(3):575-88.