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隆乳是不是比較容易得乳癌?
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plasticsuper
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註冊時間: 2005-08-04
文章: 623
來自: 台北

發表 發表於: 星期一 九月 04, 2006 5:25 pm
發表 文章主題: 隆乳是不是比較容易得乳癌?
引言回覆

答案很簡單:不是

但有另一個問題就比較難回答了:隆乳後因為鹽水袋或矽膠的關係,乳癌篩檢,是不是比較不容易偵測到有乳癌?因此被發現有乳癌的年紀會比較大?預後也比較差?

相信有很多人,包含醫師,會覺得沒錯。但真正的科學不能只靠想像,讓我們來看下面這篇研究。

[Title] Breast Cancer Diagnosis and Prognosis in Augmented Women

[Author] Neal Handel, M.D. Melvin J. Silverstein, M.D.

[Journal] Plast. Reconstr. Surg. 118: 587, 2006.

[Abstract]
Background: Recent years have witnessed growing concerns about the possible adverse effects of implants on breast cancer diagnosis and treatment. Numerous reports describe how implants might interfere with mammography and impair the ability to detect cancer. Several publications document the diminished sensitivity of mammography in augmented patients with palpable tumors. However, epidemiologic studies comparing stage of disease at time of diagnosis in augmented and nonaugmented women are equivocal. The purpose of this study was to review the authors’ experience with a large number of breast cancer patients to determine whether implants impair early diagnosis or adversely affect prognosis.

Methods: The authors reviewed their prospective database, which contains detailed information on 3953 nonaugmented and 129 augmented breast cancer patients. Various parameters of the two groups were compared and differences were analyzed using appropriate statistical methodology.

Results: The authors’ data reveal that augmented patients present with a statistically greater frequency of palpable lesions, have a slightly greater risk of invasive tumors, and have an increased likelihood of axillary lymph node metastases. Despite this, there was no statistically significant difference in stage of disease between augmented and nonaugmented patients; mean tumor size, recurrence rates, and breast cancer-specific survival were virtually identical in both groups.

Conclusions: Based on these findings, the authors conclude that despite the diminished sensitivity of mammography in women with implants, augmented and nonaugmented patients are diagnosed at a similar stage and have a comparable prognosis. While implants may impair mammography, they appear to facilitate detection of palpable breast cancers on physical examination.


這個表我們發現:隆乳的人,發現乳癌的年紀比較早。這完全顛覆一般人的猜測



這張表告訴我們:隆乳的人,與無隆乳者,癌症的期數沒有差別。



死亡率也沒有差別



為什麼隆乳的人反而比較早發現乳癌?作者的猜想是有水袋時,腫瘤下方被水袋抵住,手指就比較容易摸出來有腫瘤,所以比較容易發現。

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