Screening clinical breast examination
Screening clinical breast examination
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DOI：
10.1016/s0039-6109(03)00028-8
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发表时间：
2003-08-01
影响因子：
3.1
通讯作者：
Jatoi, I
中科院分区：
文献类型：
--
作者：
Jatoi, I
乳房X光检查、乳房自检（BSE）和临床乳房检查（CBE）是常用的乳腺癌筛查方式。其中，筛查 CBE 在医学文献中受到的关注最少。尽管印度正在进行一项试验，但尚无随机试验报告单独 CBE 筛查对乳腺癌死亡率的影响。然而，八项筛查性乳房X光检查试验中的四项也将CBE作为筛查方式，结果表明两种模式筛查（乳房X线照相术和CBE）的敏感性高于单独的乳房X线照相术，因为筛查CBE可以检测到乳房X线照相术漏掉的癌症。因此，CBE 应该仍然是所有乳房 X 光检查项目的一个组成部分。在一些国家，乳房 X 线摄影筛查被认为过于昂贵，卫生政策制定者正在考虑实施仅基于 CBE 的乳腺癌筛查计划。
Mammography, breast self-examination (BSE), and clinical breast examination (CBE) are the commonly employed breast-cancer screening modalities. Of these, screening CBE has received the least attention in medical literature. No randomized trials have yet reported the impact of screening by CBE alone on breast cancer mortality, although one trial is underway in India. Four of the eight screening mammography trials have also included CBE as a screening modality, however, and results indicate that the sensitivity of two-modality screening (mammography and CBE) is greater than that of mammography alone, because screening CBE can detect cancers missed by mammography. Thus, CBE should remain an integral part of all screening mammography programs. In some countries, mammography screening is regarded as too expensive, and health policy-makers are considering implementing breast cancer screening programs based on CBE alone.