肖佳龙,郑 莹.各国乳腺癌筛查指南中一般风险对象筛查方案的比较[J].中国肿瘤,2021,30(9):648-653.
各国乳腺癌筛查指南中一般风险对象筛查方案的比较
Comparison of Subjects at General Risk in Different Breast Cancer Screening Guidelines
中文关键词  修订日期:2021-03-11
DOI:10.11735/j.issn.1004-0242.2021.09.A002
中文关键词:  乳腺癌  筛查  指南
英文关键词:breast cancer  screening  guideline
基金项目:
作者单位
肖佳龙 复旦大学附属肿瘤医院 
郑 莹 复旦大学附属肿瘤医院 
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中文摘要:
      摘 要:乳腺癌是全世界女性发病率最高的恶性肿瘤之一,现有证据证实可以通过有组织的人群筛查降低乳腺癌死亡率。全球多个癌症研究机构和专业组织已形成不同的乳腺癌筛查指南以规范群体筛查行为。针对一般风险对象,这些指南均推荐乳腺X射线摄影术作为筛查手段,而对于筛查间隔时间和筛查开始年龄的推荐则有所不同。关于开始筛查年龄,各个指南主要的争议在于是否应该对40~49岁女性进行筛查,而对于筛查间隔时间,各个指南推荐的范围从1~3年不等。本文通过对基于证据评估的乳腺癌筛查指南中针对一般风险女性的筛查建议进行对比,为制定中国乳腺癌筛查技术指南提供借鉴。
英文摘要:
      Abstract:Breast cancer is one of the most common malignancies in women all over the world. The available evidence suggests that breast cancer mortality can be reduced through organized population screening. Various cancer research institutions and professional organizations have released different breast cancer screening guidelines to regulate population screening behavior. The guidelines all recommend mammography as a screening tool for the general risk group, but differ in recommendations for screening interval and the age-groups to start screening. Regarding the starting age of screening, the main controversy over the guidelines is whether women aged 40 to 49 should be screened. For the screening interval, the recommendation of each guide ranges from 1~3 years. This article compares the screening recommendations for women at general risk in breast cancer screening guidelines based on evidence-based assessments, to provide references for developing the breast cancer screening guidelines in China.
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