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Updated: May 8, 2025

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乳腺癌早期检测的历史:1865年 - 2020年
Frank E Gump1, Priyanka Parmar2, Sheldon Feldman3
1Department of Surgery, Columbia University, New York, NY, USA.
Breast cancer (Dove Medical Press)
|December 24, 2024
概括
早期癌症检测 早期癌症检测
科学领域:
- 在瘤学瘤学.
- 医学史 医学史 医学史
背景情况:
- 早期癌症检测的历史理由是基于哈尔斯特德逐步传播的离心理论.
- 伯纳德·费舍尔 (Bernard Fisher) 质疑了这一理论,提出乳腺癌从一开始就具有系统性.
研究的目的:
- 审查早期癌症检测的历史演变.
- 为了说明医学创新是如何导致费舍尔假设被接受的.
主要方法:
- 医学文献和临床试验的历史评论.
- 对伯纳德·费舍尔假设和随后的研究影响的分析.
主要成果:
- 早期检测的有效性取决于治疗优势和证据.
- 费舍尔的假设,得到NSABP试验的支持,表明癌症是系统性的早期.
- 查和辅助化疗促进了对癌症生物学的理解.
结论:
- 侵入性癌症不应与局部疾病等同,无论检测时间如何.
- 历史观点支持从局部治疗重点转向对癌症的系统理解.
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