— 健康促進與維護 · EASY · MCQ —
一位 45 歲個案詢問乳房攝影檢查的頻率。根據美國癌症協會指南，最合適的回應是什麼？
A 45-year-old client asks the nurse about the frequency of mammogram screening. Based on the American Cancer Society guidelines, what is the best response?
- AEvery two years starting at age 50自 50 歲起每兩年一次
- BAnnually starting at age 40自 40 歲起每年一次
- CEvery three years starting at age 40自 40 歲起每三年一次
- DAnnually starting at age 45✓ 正解自 45 歲起每年一次
— Explanation · 中文詳解 —
乳癌篩檢建議依據風險分級，對於一般風險女性，目前建議在 45 歲開始每年進行一次乳房 X 光攝影檢查，直到 54 歲。此建議旨在平衡早期發現與過度診斷的風險。B 選項過早，A 選項則忽略了 45-50 歲區間的篩檢需求。
Breast cancer screening recommendations are based on risk stratification. For women at average risk, current American Cancer Society guidelines recommend annual mammography starting at age 45 and continuing until age 54. This recommendation aims to balance early detection with the risk of overdiagnosis. Option B is too early; Option A overlooks the screening need in the 45-50 age range.
✦ 台美臨床差異
美國乳房攝影建議較彈性，台灣國健署提供 45-69 歲婦女每兩年一次免費篩檢，政策目標略有差異。