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在当前乳房X线筛查的时代可触及的乳腺癌病变依然存在

Palpable Presentation of Breast Cancer Persists in the Era of Screening Mammography
Mathis KL, Hoskin TL, Boughey JC   |    2010/8/19 14:02:23   | 
J Am Coll Surg  |   2010   |          View at Publisher
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Background:
The aim was to describe cancer detection method and frequency of screening mammography in women undergoing breast cancer surgery in 2000.

Study Design:
Patients undergoing breast cancer surgery were identified through an institutional database. Charts were reviewed to determine presentation at time of diagnosis. Presentation was coded “palpable” if the woman presented with a breast complaint or if a new mass was detected on examination versus “screening” if detected on screening mammogram.

Results:
Five hundred ninety-two breast cancers were identified: 57% presenting by screening and 43% palpable. Cancer was more likely to present as palpable in patients with no previous screening mammography compared with those with previous mammography (67% versus 39%; p=0.0002). Patients with palpable presentation were younger than those with screen-detected cancer (mean age 57 versus 62 years; p<0.0001).

Conclusions:
Despite the frequent use of screening mammography, 43% of breast cancers presented as a palpable mass or otherwise symptomatic presentation.
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