Breast imaging and cancer diagnosis during the COVID-19 pandemic: recommendations from the Italian College of Breast Radiologists by SIRM
Breast imaging and cancer diagnosis during the COVID-19 pandemic: recommendations from the Italian College of Breast Radiologists by SIRM
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DOI：
10.1007/s11547-020-01254-3
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发表时间：
2020-07-13
影响因子：
8.9
通讯作者：
Montemezzi, Stefania
中科院分区：
文献类型：
--
作者：
Pediconi, Federica;Galati, Francesca;Montemezzi, Stefania
意大利医学放射学会(SIRM)的意大利乳房放射科医师学会(SIRM)为新冠肺炎大流行期间的乳房护理提供建议和程序优先顺序，意识到目前必须在患者个人和社区安全之间做出医疗决策：(1)预约或预定进行深度诊断乳房成像或针吸活检的患者应确认预约或获得新的预约；(2)有可疑乳腺癌症状的患者(特别是：新发可触及的结节；皮肤或乳头收缩；橙色皮肤剥落；乳头单侧分泌物)应要求放射服务部门进行不可阻挡的测试；(3)在乳癌治疗后每年进行乳房X光摄影跟进的无症状妇女，最好在上次检查后1年零3个月内安排预约，以符合当地的组织条件；(4)在大流行发生后没有回应筛查邀请或已被通知暂停筛查活动的无症状妇女，最好应在未进行检查之日起3个月内安排检查，以符合当地组织条件。SIRM的意大利乳房放射科医生学院建议采取预防措施，以保护患者和医护人员(放射科医生、放射技师、护士和接待人员)在乳房成像程序，特别是乳房X光检查、乳房超声、乳房磁共振成像和乳房干预程序时免受感染或疾病传播。
The Italian College of Breast Radiologists by the Italian Society of Medical Radiology (SIRM) provides recommendations for breast care provision and procedural prioritization during COVID-19 pandemic, being aware that medical decisions must be currently taken balancing patient's individual and community safety: (1) patients having a scheduled or to-be-scheduled appointment for in-depth diagnostic breast imaging or needle biopsy should confirm the appointment or obtain a new one; (2) patients who have suspicious symptoms of breast cancer (in particular: new onset palpable nodule; skin or nipple retraction; orange peel skin; unilateral secretion from the nipple) should request non-deferrable tests at radiology services; (3) asymptomatic women performing annual mammographic follow-up after breast cancer treatment should preferably schedule the appointment within 1 year and 3 months from the previous check, compatibly with the local organizational conditions; (4) asymptomatic women who have not responded to the invitation for screening mammography after the onset of the pandemic or have been informed of the suspension of the screening activity should schedule the check preferably within 3 months from the date of the not performed check, compatibly with local organizational conditions. The Italian College of Breast Radiologists by SIRM recommends precautions to protect both patients and healthcare workers (radiologists, radiographers, nurses, and reception staff) from infection or disease spread on the occasion of breast imaging procedures, particularly mammography, breast ultrasound, breast magnetic resonance imaging, and breast intervention procedures.