Benefits of screening mammography: a review for the primary care physician.


BACKGROUND:Screening mammography, particularly for women in their 40s, has become a confusing issue for many physicians. Recent scientific and political controversies regarding screening guidelines have added to this confusion. METHODS:Many randomized clinical trials have shown the benefits of mammographic screening for women over the age of 50, and recent studies show a statistically significant benefit for women in their 40s as well. Understanding the screening controversy requires an understanding of the principle of screening for disease, the epidemiology of breast cancer, and the results of the many randomized clinical trials, particularly recent data from the Swedish two-county trials. An appreciation of the improvements in mammographic quality in recent years, and in the education of the radiologists who interpret these studies, will also heighten clinical acceptance of this screening technique. RESULTS:Both the American Cancer Society and American College of Radiology endorse annual mammographic screening for women over age 40, and there is compelling evidence to support these recommendations. CONCLUSION:Radiologists, primary care providers, surgeons, and pathologists should work together to enhance the benefits of and access to screening mammography.


South Med J


Southern medical journal


Reichle JL


Has Abstract


1998-06-01 00:00:00












  • The development, status, and future of healthcare chaplaincy.

    abstract::This review article provides insight into the evolution of professional healthcare chaplaincy. It identifies key historical developments identifying the training, qualifications, and competencies of chaplains. Consideration is given to both the unique character of the pastoral role in healthcare as well as the contrib...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Ford T,Tartaglia A

    更新日期:2006-06-01 00:00:00

  • Herpes simplex type 2 causing fulminant hepatic failure.

    abstract::Although exceedingly rare, fulminant hepatic failure (FHF) in immunocompetent patients can develop with primary or recurrent infection due to herpes simplex virus (HSV). The diagnosis is frequently obscured by the absence of mucocutaneous involvement. Elevated transaminase values with leukopenia and a relatively low b...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Fahy RJ,Crouser E,Pacht ER

    更新日期:2000-12-01 00:00:00

  • Acute upper gastrointestinal bleeding in patients with portal hypertension: a correlation of endoscopic findings with etiology.

    abstract::Esophagogastric variceal hemorrhage is a common cause of upper gastrointestinal bleeding in patients with portal hypertension. In addition, it is now recognized that patients with alcohol-induced chronic liver disease and portal hypertension frequently bleed from acute mucosal lesions. Since alcohol can cause these le...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Schoppe LE,Roark GD,Patterson M

    更新日期:1983-04-01 00:00:00

  • Impact of two ambulatory care training programs on smoking-cessation activities.

    abstract:BACKGROUND:Tobacco use causes significant morbidity and mortality. Resident physicians at the George Washington University Medical Center are trained to counsel patients to stop smoking. METHODS:I retrospectively reviewed charts of 300 patients treated by resident physicians in the Department of Medicine (200) and the...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Borum ML

    更新日期:1999-10-01 00:00:00

  • Complications of megavitamin therapy.

    abstract::A patient with pancytopenia, severe sensory neuropathy, and a six-year history of excessive vitamin intake showed portal hypertension on evaluation. A liver biopsy revealed hypervitaminosis A. His sensory findings were characteristic of a recently described syndrome of sensory neuropathy secondary to megadoses of vita...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Davidson RA

    更新日期:1984-02-01 00:00:00

  • Occupational lead intoxication: report of four cases.

    abstract::We discuss the cases of four immigrant workers in whom lead intoxication developed via inhalation while they were cutting steel beams removed from a dismantled bridge. They all had toxic lead levels with symptoms and received chelation therapy; the therapy was followed by a decrease in blood lead levels. Rebound incre...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Grimsley EW,Adams-Mount L

    更新日期:1994-07-01 00:00:00

  • Invasive group A streptococcal infections in Florida.

    abstract:BACKGROUND:Several previous studies of invasive Group A streptococcal (GAS) disease have been hindered by small sample sizes (< or = 100 patients) and limited generalizability. METHODS:We conducted a population-based study of invasive GAS disease. The objectives of the study were to describe the clinical features of i...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Mulla ZD,Leaverton PE,Wiersma ST

    更新日期:2003-10-01 00:00:00

  • Treatment of myasthenic crisis in late life.

    abstract::In 32 patients with the onset of myasthenia gravis after age 50, myasthenic crisis occurred in 53% and persisted for a mean of 33 days (range six to 84 days). Three of the patients had a second crisis. Precipitating factors were found in 60% of the episodes. Treatment of 20 episodes of crisis resulted in excellent rec...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sellman MS,Mayer RF

    更新日期:1985-10-01 00:00:00

  • Primary liver amyloidosis producing obstructive jaundice.

    abstract::Liver amyloidosis is very rare but is relatively common within the group of amyloid diseases. Jaundice seldom accompanies this condition. Since the results of liver tests are often abnormal, liver amyloidosis cannot be diagnosed by symptoms alone. Diagnosis is provided only by liver or rectal biopsy. We have described...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Rubio PA,Farrell EM,Lehane DE

    更新日期:1979-07-01 00:00:00

  • Primary splenic lymphoma complicated by hematemesis and gastric erosion.

    abstract::Gastrosplenic fistula resulting from erosion of a primary splenic lymphoma is a rare cause of massive upper gastrointestinal hemorrhage associated with benign peptic ulcer disease, gastric Crohn's disease, gastric adenocarcinoma, and primary gastric and splenic lymphomas. Upper intestinal hemorrhage can be successfull...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Bird MA,Amjadi D,Behrns KE

    更新日期:2002-08-01 00:00:00

  • Chinese red rice-induced myopathy.

    abstract::A middle-aged man presented with joint pain and muscle weakness that had begun 2 months before presentation. Three months before presentation, he had begun to take the herbal preparation Chinese red rice. Laboratory testing revealed a moderately elevated creatine phosphokinase level. Symptoms and laboratory abnormalit...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Smith DJ,Olive KE

    更新日期:2003-12-01 00:00:00

  • Home dialysis program of the Nashville VA Hospital.

    abstract::Since 1965, 330 patients have received chronic dialysis treatment at the Nashville VA Hospital. Home hemodialysis training was established in 1968, and a unique class format has been used since 1970. Despite the national trend of fewer patients beginning home dialysis each year, more than 50 percent of our patients ha...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Latos DL,Spannuth CL,Stone WJ

    更新日期:1977-12-01 00:00:00

  • Loss of transferase enzyme activity of transfused erythrocytes in galactosemia.

    abstract::Rapid loss of erythrocyte galactose-1-phosphate uridyl transferase in hemolysates from an infant 26 days after transfusion led to investigation of the possiblity of an unstable enzyme or other variant of galactosemia. However, the child was found to have the classic type of galactosemia. The seeming transferase instab...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Schwartz RP,Roesel RA,Blankenship PR,Hall WK

    更新日期:1975-03-01 00:00:00

  • Anemia in general medical inpatients prolongs length of stay and increases 30-day unplanned readmission rate.

    abstract:OBJECTIVES:Anemia, either chronic or newly developed in the hospital as a result of underlying disease and/or phlebotomy, is seen commonly among general medical inpatients, and its impact on the quality and efficiency of care is unknown. METHODS:This study investigated the relation among hemoglobin level, length of st...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Lin RJ,Evans AT,Chused AE,Unterbrink ME

    更新日期:2013-05-01 00:00:00

  • Treatment of lactic acidosis.

    abstract::Severe lactic acidosis is often associated with poor prognosis. Recognition and correction of the underlying process is the major step in the treatment of this serious condition. Intravenous administration of sodium bicarbonate has been the mainstay in the treatment of lactic acidosis. Aggressive use of this therapeut...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Warner A,Vaziri ND

    更新日期:1981-07-01 00:00:00

  • Value of ultrasonography, fine needle aspiration, and percutaneous drainage of perinephric abscesses.

    abstract::With the advent of ultrasonography, perinephric fluid collection can be easily diagnosed and confirmed by fine needle aspiration. In the past these cases sometimes went undiagnosed for several months. We did fine needle aspiration under the guidance of ultrasonography in 16 patients without complications. The aspirant...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Elyaderani MK,Moncman J

    更新日期:1985-06-01 00:00:00

  • Medullary sponge kidney presenting as polycystic renal disease.

    abstract::We observed a 30-year-old woman in whom a large mass in the right lower quadrant and bilaterally enlarged cystic kidneys with markedly distorted collecting systems by excretory urography suggested a diagnosis of polycystic renal disease (PRD); but the linear and cystic dilatation of collecting tubules, many of which c...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Reed JR,Rutsky EA,Witten DM

    更新日期:1984-07-01 00:00:00

  • Increased incidence of bacteremia in Haitian children with sickle cell anemia.

    abstract::Children with sickle cell anemia who were less than 5 years old were observed over a three-year period. Those born to recent Haitian immigrants accounted for 108.4 patient-years. They had seven episodes of Streptococcus pneumoniae bacteremia and five due to Haemophilus influenzae for rates of 6.5 and 4.6 episodes per ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Pegelow CH

    更新日期:1989-07-01 00:00:00

  • Integrated diagnostic and treatment approach for the medical patient who has had psychologic trauma.

    abstract:BACKGROUND:Physicians often treat patients with physical illnesses that have a functional component. Investigators have discovered that many of these patients have unresolved emotional problems associated with histories of trauma and abuse. METHODS:Abused and traumatized patients with medical complaints often seek med...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Brende JO,Dill JE,Dill B,Sibcy GA

    更新日期:1998-04-01 00:00:00

  • Kounis syndrome.

    abstract::The association between acute coronary events and acute allergic reactions has been recognized for several years. The first reported case occurred in 1950, during an allergic reaction to penicillin. In 1991, Kounis and Zavras described the syndrome of allergic angina and allergic myocardial infarction, currently known...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Lopez PR,Peiris AN

    更新日期:2010-11-01 00:00:00

  • Inappropriate psychiatric admission of elderly patients with unrecognized delirium.

    abstract:OBJECTIVES:To explore factors that might contribute to misattribution of mental status changes to psychiatric illness when an elderly patient actually has a delirium (mental status changes due to a medical condition). METHODS:Records of 900 elderly patients referred to a Veterans Affairs psychiatric inpatient unit and...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Reeves RR,Parker JD,Burke RS,Hart RH

    更新日期:2010-02-01 00:00:00

  • CD8+ lymphocytic pneumonitis in a patient receiving cyproterone acetate.

    abstract::A large number of drugs can induce pulmonary disease. We report the case of a female patient who was receiving cyproterone acetate for severe hirsutism. After 4 months of cyproterone therapy, she had dyspnea, pulmonary infiltrates, and a restrictive ventilatory defect. Bronchoalveolar lavage showed CD8+ lymphocytosis ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Similowski T,Orcel B,Derenne JP

    更新日期:1997-10-01 00:00:00

  • Pectus excavatum: a 15-year perspective.

    abstract::Pectus excavatum is relatively uncommon. Our experience with 177 children during a 15-year period produced changes in our surgical technique, which now includes a small transverse incision, minimal subcutaneous flap elevation, a muscle-relaxing incision over the fifth costal cartilage, complete resection of involved c...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Golladay ES,Wagner CW

    更新日期:1991-09-01 00:00:00

  • Thoracoabdominal radiculopathy.

    abstract::Thoracic nerve root dysfunction (TNRD) manifested as abdominal pain is an infrequently reported condition. We present data on six patients who had chronic intermittent thoracoabdominal pain originating in the back. Diabetes and osteoarthritis of the spine were the chief causes of these symptoms. The electromyogram in ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sellman MS,Mayer RF

    更新日期:1988-02-01 00:00:00

  • Localization of bronchogenic carcinoma in tuberculous lobes.

    abstract::The pronounced predilection of bronchogenic carcinoma for tuberculous lobes of the lungs is not generally recognized. In this plus 11 other series of patients with coexisting disease, an average of 52% had the neoplasm in a tuberculous lobe. In the present study, tuberculosis was confined to one or two lobes in 24 of ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Farwell DJ,Rutledge LJ,Bryant LR,Schechter FG

    更新日期:1978-04-01 00:00:00

  • Panretinal photocoagulation in the management of neovascular glaucoma.

    abstract::We report a retrospective evaluation of the role of panretinal photocoagulation in the primary treatment of neovascular glaucoma. Thirty-six eyes (32 patients) received aggressive argon laser panretinal photocoagulation beginning as soon as feasible after diagnosis of the developing neovascular glaucoma. Thirty eyes w...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Cashwell LF,Marks WP

    更新日期:1988-11-01 00:00:00

  • Intestinal antisepsis.

    abstract::The role of antibiotics in large bowel surgery was established by experimental studies indicating that antibiotics could protect a colonic anastomosis subjected to unusual stress. A number of different agents were studied to patients to determine which ones significantly altered the bacterial flora of the colon. Clini...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Cohn I Jr

    更新日期:1982-12-01 00:00:00

  • Influences on Primary Care Provider Imaging for a Hypothetical Patient with Low Back Pain.

    abstract:OBJECTIVE:How outside factors affect physician decision making remains an open question of vital importance. We sought to investigate the importance of various influences on physician decision making when clinical guidelines differ from patient preference. METHODS:An online survey asking 469 primary care providers (PC...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Le HH,DeCamp M,Bertram A,Kale M,Berger Z

    更新日期:2018-12-01 00:00:00

  • Metastatic prostatic carcinoma presenting as fulminant hepatic failure.

    abstract::A 68-year-old male presented with progressive abdominal pain, dyspnea, weight loss, and dysuria. Lab work revealed elevated creatine phosphokinase levels, prostate-specific antigen level (approximately 60 ng/mL), and elevated liver enzymes. He was admitted to the intensive care unit for worsening respiratory distress ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Shakir FA,Madhoun M,Whorton J,Harty R

    更新日期:2008-10-01 00:00:00

  • Heart disease in a total population of children: the Bogalusa Heart Study.

    abstract::A cross-sectional survey of a total semirural biracial population of children was conducted to determine the prevalence and types of cardiac disease. Of 4,074 children examined, 146 were thought to have significant cardiac murmurs. One hundred thirteen of these participated in a follow-up study in which they received ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Akman D,Berenson GS,Blonde CV,Webber LS,Stopa AR

    更新日期:1982-10-01 00:00:00