— 健康促進與維護 · MEDIUM · MCQ —
一位 50 歲且有乳癌家族史的病人詢問篩檢方案。哪項建議最合適？
A 50-year-old client with a family history of breast cancer asks about screening options. Which is the most appropriate recommendation?
- AYearly mammography screening✓ 正解每年進行乳房攝影篩檢
- BMonthly self-breast exam only僅每月進行乳房自我檢查
- CScreening only if symptoms develop僅在有症狀時才進行篩檢
- DMagnetic resonance imaging (MRI) annually as the only test每年僅以磁振造影（MRI）作為唯一檢查
— Explanation · 中文詳解 —
對於 50 歲且具家族史的女性，年度乳房攝影檢查（Mammography）是目前醫學實證最具篩檢效益的標準作法。自我檢查（B）已不再被視為主要的篩檢工具；MRI（D）通常針對極高風險群，不作為常規唯一篩檢；有症狀才篩檢（C）則錯失了早期預防的良機。
For a 50-year-old woman with a family history of breast cancer, annual mammography is the current evidence-based standard screening practice. Self-breast examination (B) is no longer considered a primary screening tool; MRI (D) is generally reserved for very high-risk groups and is not used as a sole routine screening test; and screening only if symptoms develop (C) misses the opportunity for early detection.
✦ 台美臨床差異
台灣針對 45-69 歲婦女提供兩年一次免費乳房攝影，有家族史者建議更早或更頻繁篩檢。