进行乳腺癌查.
Joann G Elmore1, Katrina Armstrong, Constance D Lehman
1Department of Medicine, University of Washington School of Medicine, Seattle, USA. jelmore@u.washington.edu
JAMA
|March 10, 2005
概括
乳房显微镜是社区环境中乳腺癌查的主要工具,可将死亡率降低高达35%. 对于一般人群的查,尚未推新的方法.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 社区环境中的乳腺癌查实践可能与临床试验中的做法不同.
- 新兴的查技术正在成为乳腺癌检测的可用.
研究的目的:
- 在社区环境中审查当前的乳腺癌查实践.
- 评估支持新乳腺癌查方式的证据.
主要方法:
- 系统审查英语随机对照试验,元分析和乳腺癌查有效性的系统审查.
- 对社区查和指导方针研究的评估.
- 对MRI和超声波等较新的查方式的研究进行评估.
主要成果:
- 对于40岁以上的女性,建议进行查性乳房扫描,在50-69岁的女性中,将死亡率降低20-35%.
- 乳房科有一个高的错误阳性率 (约. 95%的异常不是癌症).
- 临床乳房检查显示,与试验 (54%) 相比,社区环境中的敏感性较低 (28-36%). 乳房自我检查对降低死亡率无效.
结论:
- 乳腺造影仍然是社区乳腺癌查的基石.
- 预计较新的查方式不会很快取代普通人群的乳房检查.
- 临床乳房检查和自我检查的有效性与乳房影像相比有限.
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