| 何 美,李必波,杜 佳.2012~2016年重庆城市癌症高危人群筛查结果分析[J].中国肿瘤,2018,27(3):198-201. |
| 2012~2016年重庆城市癌症高危人群筛查结果分析 |
| Cancer Screening Among Urban High Risk Population in Chongqing，2012～2016 |
| 投稿时间：2017-10-11 |
| DOI：10.11735/j.issn.1004-0242.2018.03.A007 |
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| 中文关键词: 癌症 高危人群 筛查 城市 早诊早治 重庆 |
| 英文关键词:cancer high risk population screening city early diagnosis and early treatment Chongqing |
| 基金项目:国家自然科学基金(81502669)；重庆市卫生计生委医学科研项目(2016ZDXM032) |
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| 中文摘要: |
| 摘 要：［目的］ 分析2012~2016年重庆城市癌症早诊早治高危人群筛查情况，为开展癌症早诊早治项目工作提供依据。［方法］ 2012~2016年对重庆市4个辖区(沙坪坝区、南岸区、渝中区、九龙坡区)中40~69岁户籍人口进行高危风险评估，评估出的高危人群采用低剂量螺旋CT、乳腺超声、乳腺钼靶、腔镜(胃镜、肠镜)、指示性活检、甲胎蛋白(AFP)及腹部超声等检查技术开展相应的癌症筛查。［结果］ 4年共完成高危人群筛查41 538人次，发现疑似癌症403例，其中疑似肺癌193例，乳腺筛查BI-RADS 4/5级208例，疑似肝癌2例，检出率分别为1.56%（193/12365）、2.92%（208/7127）、0.02%（2/11271）；确诊癌前病变975例，其中食管癌癌前病变151例，胃癌前病变348例，结直肠癌前病变476例，检出率分别为2.27%（151/6665）、5.22%（348/6665）、11.58%（476/4110）；确诊癌症18例，其中食管癌6例，胃癌5例，结直肠癌7例，检出率分别为0.09%（6/6665）、0.08%（5/6665）、0.17%（7/4110）。［结论］ 针对性地在高危人群中开展肺癌、乳腺癌、肝癌、上消化道癌和结直肠癌筛查，有利于早期发现癌症，提高患者的早诊率、生存率，并降低死亡率，从而提高癌症的治疗效果和防控水平。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the results of cancer screening among urban high risk population in Chongqing municipal during 2012～2016. ［Methods］ The urban residents aged 40～69 years from four districts of Chongqing(Shapingba，Nanan，Yuzhong，Jiulongpo) participated in a questionnaire cancer risk assessment during 2012～2016. The high risk individuals were screened with low-dose spiral CT，breast and abdominal ultrasonography，mammary molybdenum target X-ray photography，endoscopy(gastroscopy，colonoscopy)，indicative biopsy，and serum alpha fetoprotein measurement，respectively according the types of risk. ［Results］ There were 41 538 high risk individuals participating in the cancer screening program during 2012～2016，and 403 cases of highly suspected cancers were identified，including 193 cases of suspected lung cancer(193/12365，1.56%)，208 cases of breast positive(BI-RADS 4/5 grade)(208/7127，2.92%)，2 cases of suspected liver cancer(2/11271，0.02%)；There were 975 cases diagnosed as precancerous lesions among screening participants，including 151 cases of precancerous esophageal lesions(151/6665，2.27%)，348 cases of precancerous gastric lesions(348/6665，5.22%)，476 cases of precancerous colorectal lesions(476/4110，11.58%)；18 cases were diagnosed with cancer，including 6 cases of esophageal cancer，5 cases of stomach cancer，7 cases of colorectal cancer with a detection rate of 0.09%(6/6665)，0.08%(5/6665)，0.17%(7/4110)，respectively. ［Conclusion］ Targeted screening among high risk population for lung，breast，upper gastrointestinal，colorectal and liver cancer are able to early detect cancer and improve the early diagnosis rate. |
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