— 健康促進與維護 · EASY · MCQ —
一位 45 歲病人詢問乳房 X 光攝影篩檢的建議頻率。根據現行健康指引，下列哪項說明正確？
A 45-year-old client asks the nurse about the recommended frequency for a screening mammogram. Which response is accurate based on current health guidelines?
- AEvery 2 years starting at age 50自 50 歲起每 2 年一次
- BEvery 1 to 2 years starting at age 40 to 45✓ 正解自 40 至 45 歲起每 1 至 2 年一次
- CAnnually starting at age 40自 40 歲起每年一次
- DOnly if a palpable mass is detected僅在觸摸到腫塊時進行
— Explanation · 中文詳解 —
乳癌篩檢建議在 40 至 45 歲間啟動。美國癌症協會建議 45 歲開始每年檢查，USPSTF 則建議 40 歲開始每兩年一次。針對一般風險族群，在 40-45 歲間與醫護討論風險後開始進行篩檢，是目前公認的健康促進標準。
Current guidelines recommend initiating breast cancer screening discussions between ages 40 and 45, with options for annual or biennial mammograms depending on risk factors and specific organizational recommendations. This personalized approach balances early detection benefits with the need to avoid unnecessary testing in younger populations.
✦ 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，與美國強調個人化風險評估略有差異。