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乳癌篩檢介紹

Introduction to Breast Cancer Screening

摘要


乳癌篩檢最主要目的在於減少乳癌死亡率,乳房攝影已被公認為最佳的乳癌篩檢工具,雖然政府及醫療機構大力推動乳癌篩檢,但台灣婦女的乳癌篩檢受檢率一直不高,醫護人員仍需持續衛教婦女篩檢的重要性,以改善篩檢順從率過低的問題。台灣的乳癌篩檢一直以美國放射學院(ACR)制定的乳房X光攝影影像報告和資訊系統(BIRADS)及篩檢過程指標作為參考依據,並逐年檢討以確保台灣乳癌篩檢的品質。目前的乳癌篩檢的趨勢已朝向個人化設計,如何考量乳癌高危險因子,進而為個人量身定製適合的篩檢措施,將是未來落實乳癌篩檢所需面對的挑戰。

並列摘要


The purpose of breast cancer screening is to decrease the breast cancer mortality rates. Mammography is still the well-known gold standard in breast cancer screening. Despite the efforts of Government and healthcare workers in promoting the breast cancer screening, the compliance rate among women in Taiwan remains low. Healthcare professionals need to continue to stress the importance of breast cancer screening and encourage more women to participate. In order to maintain quality assurance, BIRADs category and ACR standards have always been used as benchmarks for quality measures accompanied by annual evaluations. In light of the developing trend of individualized service in breast cancer screening, identifying personal risk factors for individually tailored interventions presents itself as a major challenge for the future.

參考文獻


賴金英、賴金梅、陳秋媛、辜美安(2012).台灣中老年女性未接受乳房攝影篩檢之因子,護理雜誌,59(2),60-70。[Lai ,C.Y., Lai, C. M., Chen, C. Y. & Koo, M. (2012). Factors associated with non-utilization of mammographic screening services in middleaged and elderly women in Taiwan. The Journal of Nursing, 59(2), 60-70. doi:10.6224/JN.59.2.60]
中華民國放射醫學會(2015 年 11 月 13 日).乳房攝影篩檢醫學評量統計表.取自 http://r.search.yahoo.com/_ylt=A8tUwYFhlkVWHl8A1h9r1gt.;_ylu=X3oDMTByNm4zYnA3BGNvbG8DdHcxBHBvcwM1BHZ0aWQDBHNlYwNzcg--/RV=2/RE=1447429857/ RO=10/RU=http%3a%2f%2fwww.rsroc.org.tw%2fDB%2fNews%2ffile%2f279-1.doc/RK=0/RS=Bw0Z4LU_yGbJhMoX R i b 0 P U H G _ S 4 - [ T h e R a d i o l o g i c a l Society Republic of China (2015, Nov.13). Mammography Medical Audit. Retrieved from http://r.search.yahoo.com/_ylt=A8tUwYFhlkVWHl8A1h9r1gt.;_ylu=X3oDMTByNm4zYnA3BGNvbG8DdHcxBHBvcwM1BHZ0aWQDBHNlYwNzcg--/RV=2/RE=1447429857/RO=10/RU=http%3a%2f%2fwww.rsroc.org.tw%2fDB%2fNews%2ffile%2f279-1.doc/RK=0/RS=Bw0Z4LU_yGbJhMoXRib0PUHG_S4-]
行政院衛生署(2010).中華民國公共衛生年報.取自http://www.doh.gov.tw/CHT2006/DM/DM1_p01.aspx?class_no=98&now_fod_list_no=11741&level_no=3&doc_no=79064 [Department of Health, Executive Yuan, Taiwan, ROC. (2010). Taiwan public health report 2010. Retrieved from http://www.doh.gov.tw/CHT2006/DM/DM1_p01.aspx?class_no=98&now_fod_list_no=11741&level_no=3&doc_no=79064]
李耀泰、郭宗正(2013).乳癌篩檢的新知.台灣婦產科醫學會會訊 ,200,26-31。
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被引用紀錄


許雯涵、林芊玉、林麗卿、鄭素月(2022)。一位初次乳癌接受改良性乳房手術獨居長者之護理經驗領導護理23(4),115-130。https://doi.org/10.29494/LN.202212_23(4).0008
鄭資津(2016)。探討乳癌病人篩檢與診斷期別、存活率及醫療利用間之相關性〔碩士論文,義守大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0074-1708201619025500

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