Current Issues in the Overdiagnosis and Overtreatment of Breast Cancer

被引：30

作者：

Monticciolo, Debra L. ^{[1
]}

Helvie, Mark A. ^{[2
,3
]}

Hendrick, R. Edward ^{[4
]}

机构：

[1] Texas A&M Univ Hlth Sci, Scott & White Med Ctr, Dept Radiol, 2401 S 31st St,MS-01-W256, Temple, TX 76508 USA

[2] Univ Michigan, Dept Radiol, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Comprehens Canc Ctr, Michigan Med, Ann Arbor, MI 48109 USA

[4] Univ Colorado, Sch Med, Dept Radiol, Aurora, CO USA

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2018年 / 210卷 / 02期

关键词：

breast cancer; breast cancer diagnosis; overdiagnosis; overtreatment; screening mammography; CARCINOMA IN-SITU; FOLLOW-UP; SCREENING MAMMOGRAPHY; INDUCTION CHEMOTHERAPY; CONSERVING SURGERY; SURGICAL MARGINS; ADJUVANT THERAPY; RANDOMIZED-TRIAL; WOMEN; MORTALITY;

D O I：

10.2214/AJR.17.18629

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

OBJECTIVE. The discovery of breast cancer at earlier stages with screening brings the risk that some cancers will be overdiagnosed or overtreated. Reasonable estimates show the overdiagnosis rate due to screening mammography to be low, 1-10%. CONCLUSION. Overdiagnosis should not be used as a reason to delay the onset or decrease the frequency of screening, because neither strategy will decrease overdiagnosis. Improvements in personalized treatment will diminish the morbidity of treatment and, therefore, the significance of overdiagnosis.

引用

页码：285 / 291

页数：7

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