一位 45 歲女性詢問乳癌篩檢頻率。依據美國癌症協會現行指南，護理師應給予什麼建議？
A 45-year-old female client asks about recommended frequency for breast cancer screening. According to current American Cancer Society guidelines, what should the nurse advise?
- AAnnual mammography starting at age 45✓ 正解從 45 歲開始每年進行乳房攝影檢查
- BClinical breast exam every 6 months每 6 個月進行一次臨床乳房檢查
- CBreast self-exam monthly for all women所有女性每月進行乳房自我檢查
- DBiennial screening starting at age 40從 40 歲開始每兩年進行一次篩檢
針對一般風險女性，ACS 建議 45 至 54 歲女性應每年進行乳房攝影檢查。雖然 40 歲以上女性可選擇開始篩檢，但 45 歲為常規推薦起始年齡。自我檢查（BSE）不再被視為主要的早期偵測手段，且臨床乳房檢查的證據等級不足以支持作為常規篩檢。
According to current American Cancer Society guidelines, average-risk women aged 45 to 54 should undergo annual mammography screening. While screening may begin at age 40 based on individual preference, age 45 is the standard recommendation for routine initiation. Routine breast self-exams are no longer advised due to high false-positive rates, and clinical breast exams are not recommended for general screening purposes.
美國強調影像檢查；台灣國民健康署提供 45-69 歲女性每兩年一次免費乳房攝影檢查，與美國指南略有差異。