乳腺癌查:美国预防服务工作组建议声明
, Wanda K Nicholson1, Michael Silverstein2
1George Washington University, Washington, DC.
JAMA
|April 30, 2024
概括
对于40至74岁的女性来说, 两年一次的乳房X光检查提供了适度的好处. 对于75岁以上的女性或对乳腺密度较高的女性进行超声波或MRI查的证据是不够的.
科学领域:
- 癌症学
- 预防医学
- 放射学
背景情况:
- 乳腺癌是美国女性癌症死亡的主要原因,
- 有效的查策略对于早期检测和改善结果至关重要.
研究的目的:
- 评估各种基于乳房扫描的乳腺癌查策略的比较有效性.
- 为乳腺癌查提供基于证据的指导方针.
主要方法:
- 对查策略 (年龄,间隔,方式,补充成像) 的比较有效性的系统审查.
- 合作建模研究以补充审查证据.
主要成果:
- 在40至74岁的女性中,每两年进行一次查性乳房镜检查的净益是中等的.
- 没有足够的证据来确定75岁以上女性查的益处和危害.
- 无论乳腺密度如何,没有足够的证据来进行超声波或MRI补充查.
结论:
- 建议每两年对40至74岁的女性进行乳房查.
- 需要对老年妇女进行进一步的研究和补充查方法.
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