1、Breast Cancer Screening for Women at Average Risk: 2015 Guideline Update From the American Cancer Society,2018/7/27,JAMA.2015 Oct 20;314(15):1599-614.,IMPORTANCEBreast cancer is a leading cause of premature mortality among US women. Early detection has been shown to be associated with reduced breast
2、 cancer morbidity and mortality.,OBJECTIVETo update the American Cancer Society (ACS) 2003 breast cancer screening guideline for women at average risk for breast cancer,ACS RECOMMENDATIONS,Women should have the opportunity to begin annual screening between the ages of 40 and 44 years (qualified reco
3、mmendation).,age 45 years screening mammography starting(strong recommendation),aged 45 to 54 years should be screened annually (qualified recommendation),55 years and older should biennial screening or have the opportunity to continue screening annually (qualified recommendation).,Women should cont
4、inue screening mammography as long as their overall health is good and they have a life expectancy of 10 years or longer (qualified recommendation).,CONCLUSIONS AND RELEVANCEThese updated ACS guidelines provide evidence-based recommendations for breast cancer screening for women at average risk of b
5、reast cancer.These recommendations should be considered by physicians and women in discussions about breast cancer screening.,Approximately 36% of East Asians (Japanese, Chinese, and Koreans) show a characteristic physiological response to drinking alcohol that includes facial flushing (seeFigure 1), nausea, and tachycardia 1,
