2015版美国癌症协会乳腺癌筛查指南解读

Introdution of breast cancer screening guideline of American cancer society published in 2015

目的简介2015年美国癌症协会(American Cancer Society,ACS)公布的乳腺癌筛查最新指南。方法与2003版ACS指南相比,分析2015版ACS指南的更新要点;结合其他重要的国际乳腺癌筛查指南及中国实际情况,讨论2015版ACS指南存在的不足及可借鉴之处。结果 2015版ACS指南主要更新要点在于推荐乳腺癌发病平均风险女性应从45岁起常规进行乳房摄影术筛查,并且不推荐临床乳腺检查作为任何年龄平均风险女性的乳腺癌筛查方法。由于中国和欧美女性乳腺质地、体积和经济情况的差异,ACS推荐的乳腺癌筛查方案并不完全适用于中国女性。结论在借鉴ACS指南基础上,应针对中国女性乳房生理特点及乳腺癌流行病学特征制定适用于我国的乳腺癌筛查指南。

OBJECTIVE To introduct the latest breast cancer screening guideline of American Cancer Society （ACS） published in 2015. METHODS We compared the ACS guidelines published in 2015 with which in 2003 to find their differences. Also, we indicated differences between the ACS guideline and other important international breast canc- er screening guidelines. In combination with Chinese actual situation, we further discussed the deficiency existing in the ACS guideline and what could be used for us. RESULTS In the ACS guideline published in 2015, it mainly recommends that women with average risk of breast cancer would routinely receive breast cancer screening by breast photography from the age of 45, and clinical breast examination is not recommended as one of breast cancer screening methods for any age women of average risk. Since there are quite different in breast texture, size and economic conditions for Chinese or Euro- pean/American female, the screening guideline recommended by ACS is not completely applicable to Chinese female. CONCLUSION On basis of ACS guideline, we should aim at Chinese female physiology and breast cancer epidemiologieal characteristics for formulating appropriate guidelines of breast cancer screening in our country.