Introduction

Although the benefits of surveillance mammography for older breast cancer survivors have not been quantified prospectively, it is unlikely that mammography provides substantial benefit (and possible that mammography is harmful) to women with limited life expectancy and a low risk for in-breast cancer events.

Materials and Methods

We identified 1268 women aged 77 and older with a history of Stage I-III breast cancer, who did not undergo bilateral mastectomy, were diagnosed with cancer at least three years prior to study entry, and who had consented to be surveyed as part of the Mayo Clinic Breast Disease Registry. We mailed them a one-time survey asking about their experiences with surveillance mammography. Women with metastatic disease were excluded. The primary endpoint was whether or not women reported at least one mammogram since breast cancer surgery.

Results

Eight hundred forty-six of 1268 (67%) returned the survey, 734 of whom were eligible for analysis. The median age at the time of survey was 82, and the median time since cancer diagnosis was 12 years. Ninety-three percent reported having had at least one mammogram since their initial breast cancer surgery. Seventy-nine percent reported that they had surveillance mammography annually over the prior three years, including 76% of the 491 aged 80+ and 64% of the 189 aged 85 + .

Discussion

Most older breast cancer survivors who have residual breast tissue are undergoing annual mammograms. Additional educational materials may be beneficial for patients and clinicians to better individualize plans for surveillance mammography in older breast cancer survivors.

中文翻译：

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老年乳腺癌幸存者的乳房 X 线摄影监测：目前的实践模式和患者的看法

介绍

尽管尚未对老年乳腺癌幸存者进行监测乳房 X 线摄影的益处进行前瞻性量化，但乳房 X 线摄影不太可能为预期寿命有限且发生乳腺癌事件风险低的女性提供实质性益处（并且乳房 X 线摄影可能有害）。

材料和方法

我们确定了 1268 名 77 岁及以上有 I-III 期乳腺癌病史的女性，她们没有接受双侧乳房切除术，在进入研究前至少三年被诊断出患有癌症，并且同意作为调查的一部分进行调查。梅奥诊所乳腺疾病登记处。我们向他们邮寄了一份一次性调查问卷，询问他们在乳房 X 光检查方面的经验。患有转移性疾病的女性被排除在外。主要终点是女性自乳腺癌手术后是否至少报告过一次乳房 X 光检查。

结果

1268 人中有 846 人（67%）返回了调查，其中 734 人符合分析条件。调查时的中位年龄为 82 岁，癌症诊断后的中位时间为 12 年。93% 的人报告说，自从他们最初的乳腺癌手术后，他们至少接受过一次乳房 X 光检查。79% 的人报告说他们在过去三年中每年都进行乳房 X 光检查，其中 491 名 80 岁以上的人中有 76% 和 189 名 85 岁以上的人中有 64% 。

讨论

大多数有残留乳房组织的老年乳腺癌幸存者每年都会接受乳房 X 光检查。额外的教育材料可能有利于患者和临床医生更好地制定针对老年乳腺癌幸存者的乳房 X 线摄影监测计划。