婦女對篩檢性X光乳房攝影應有的認知

Preliminary Results of Screening Mammography

蔡金妹(Ching-Mey Tsai) ； 趙婉純(Woan-Chwen Jaw) ； 魯承章(Cheng-Chang Lu) ； 陳秋如(Chiu-Ju Chen) ； 戴龍戎(Long-Long Tai)

《中華放射線技術學雜誌》 29卷2期 (2005/12) Pp. 165-172

https://doi.org/10.30045/CJRT.200512.0007

摘要

篩檢性乳房X光攝影(Screening Mammography)乃針對毫無疾病徵兆的婦女所施行的乳房攝影檢查；是能夠早期發現乳癌的最佳做法。雖然「乳房自我檢查」(Breast Self Examination, BSE)被視為一項簡單與有其意義的檢查機制，並且也已廣被接受。然而，到目前為止，並沒有證據可以顯示，僅靠它即能夠降低罹患乳癌的死亡人數。眾所皆知，乳癌在女性罹癌的病症中，已經居於首位。在台灣，婦女罹患乳癌的趨勢也有年輕化的現象。有鑑於此，國民健康保險局亦已發展並正在推展全國性的乳癌防治計畫。再者，乳篩的費用已於93年7月納入健保給付，一系列的乳房篩檢性的活動也正在施行當中。在乳房X光攝影檢查的過程中，可能會感覺不適，但是因為攝影的時間很短暫，應屬可以接受，而所接受到的放射劑量也很低，可能受到傷害的機率都是極小的。因此，協助民眾建立正確的觀念，強化防治教育。將焦點放在表面上看似健康的民眾，進行早期乳房疾病的偵檢與治療，應是當前最重要的課題與降低乳癌死亡率的最好方法。

關鍵字

篩檢性乳房X光攝影 ； 乳房自我檢查 ； 乳房X光攝影檢查

並列摘要

Screening mammography is the most reliable method for early detection of breast cancer in women who do not show any signs or symptoms of the disease. Although Breast Self Examination (BSE) has been universally accepted by the experts as a very simple, significant and effective manner, studies so far have not proved that BSE can reduce the number of deaths in breast cancer. By reports, breast cancer is the leading cancer among women and unfortunately young females' chance of getting breast cancer has been increasing obviously for years in Taiwan. As this result, since July 2004 fees for screening mammography have been covered by National Health Insurance. In addition, a nation-wide mammographic screening program by Bureau Health Promotion (BHP) and proceeding in each certified facilities at present. During the examination, patients may feel slightly discomfort. However, each X-ray only takes less than 1 minute, and it should be acceptable. The amount of radiation used is very low; the risk of harm is extremely small.
Thus helping the public build a clear conception, strengthening the education on the prevention and control, focusing on the early detection to find unsuspected breast disease in an ostensibly health population for the early treatment are the most important issues and the best ways to reduce the mortality of breast cancer nowadays.

並列關鍵字

Screening Mammography ； Breast Self Examination BSE ； Mammogram