ACOG妇产科临床处理指南——乳腺癌筛查.pdf

the american college of obstetricians and gynecologists women ’s health care physicians P RAC T I C E BUL L E T I N clinical management guidelines for obstetrician– gynecologists Number 122, August 2011 Replaces Practice Bulletin Number 42, April 2003 Breast Cancer Screening Breast cancer is the most commonly diagnosed noncutaneous cancer in women in the United States, and the second leading cause of death from cancer in American women—second only to lung cancer (1). Breast cancer mortality can be effectively reduced through screening. The purpose of this Practice Bulletin is to review breast cancer screening guidelines and the evidence used to support the recommendations and highlight new screening modalities and con- troversies surrounding screening. Background Table 1. Age-Specific Probabilities of Developing Invasive Female Breast Cancer* Incidence The Probability of Breast cancer accounts for 27% of all new cases of can- Developing Breast Cancer cer diagnosed in women (2). A woman’s lifetime risk of If Current Age Is… in the Next 10 Years† Or 1 in: developing breast cancer is 12.08%, or 1 in 8 (Table 1) 20 0.06% 1,760 (2, 3). In 2010, approximately 207,090 new cases of 30 0.44% 229 invasive breast cancer