Mechella M, De Cesare A, Lauretti M C
Diagnosi e Cura dei Tumori, I Istituto di Clinica Chirurgica Servizio Speciale Prevenzione, Università degli Studi di Roma La Sapienza, Roma.
Minerva Chir. 1997 Nov;52(11):1327-34.
Cystic breast disease is a relatively widespread pathological condition in the female sex, it has an incidence of around 7% and predominantly affects women aged between 40 and 50 years old. The authors report their experience based on the observation of 1046 cases taken from a series consisting of over 30,000 examinations. Patients were studied following a standardised diagnostic protocol including breast examination, breast scan and, depending on the patient's age or the presence of pathological findings, mammography. The protocol examines the distribution according to age, the number of cysts, their localization and diameter, as well as parameters concerning reproductive or sexual life, age at first pregnancy, the use of oral contraceptives, the number of abortions and menopausal status. Moreover, the efficacy of diagnostic tests, such as ecography, mammography, cytology and the assay of electrolytes using fine needle aspiration, was evaluated. The authors conclude that, when the patient follows a complete and valid diagnostic iter, breast cystic disease is an easily dominable pathology that can be simply controlled periodically without the need for therapeutic surgery.
乳腺囊性疾病是女性中较为普遍的一种病理状况,发病率约为7%,主要影响40至50岁的女性。作者基于对从超过30000例检查组成的系列中选取的1046例病例的观察报告了他们的经验。按照标准化诊断方案对患者进行研究,包括乳房检查、乳房扫描,以及根据患者年龄或病理结果进行乳房X光检查。该方案检查囊肿的年龄分布、数量、定位和直径,以及有关生殖或性生活、初孕年龄、口服避孕药的使用、流产次数和绝经状态的参数。此外,还评估了超声检查、乳房X光检查、细胞学检查以及使用细针穿刺进行电解质检测等诊断测试的效果。作者得出结论,当患者遵循完整有效的诊断流程时,乳腺囊性疾病是一种易于控制的病理状况,无需进行治疗性手术,只需定期进行简单控制即可。