| 杜 佳,何 美,邱 惠.2012—2017年重庆市城市女性乳腺癌筛查结果分析[J].中国肿瘤,2020,29(12):933-938. |
| 2012—2017年重庆市城市女性乳腺癌筛查结果分析 |
| Results of Breast Cancer Screening Among Urban Female Residents in Chongqing，2012—2017 |
| 中文关键词 修订日期：2020-02-27 |
| DOI：10.11735/j.issn.1004-0242.2020.12.A008 |
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| 中文关键词: 乳腺癌 筛查 高危人群 早诊早治 重庆 |
| 英文关键词:breast cancer screening high-risk population early diagnosis and treatment Chongqing |
| 基金项目:国家重点研发计划精准医学研究重点专项(2016YFC0901400)； |
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| 中文摘要: |
| 摘 要：［目的］ 分析2012—2017年重庆市城市女性乳腺癌筛查结果，为开展乳腺癌防治工作提供依据。［方法］ 各级卫生行政部门及医疗机构宣传动员40~69岁城市女性自愿参加乳腺癌危险因素调查和风险评估，通过乳腺癌风险评估模型筛选出乳腺癌高危人群，对40~44岁高危人群采用彩色超声检查，45岁及以上或超声检查阳性者采用彩色超声检查结合X线摄片检查，分析城市女性乳腺癌的高危率、筛查率和检出率。［结果］ 5年间共116 028人完成乳腺癌危险因素调查和高危人群评估，17 542人被评估为乳腺癌高危人群（高危率为15.12%），8538例接受临床筛查（筛查率为48.67%），检出可疑阳性1479例（检出率为17.32%），阳性269例（检出率为3.15%）。高危率在45~49岁组最高（20.11%），筛查率在55~59岁组最高（53.35%），可疑阳性检出率在45~49岁年龄组最高（24.57%），阳性检出率呈现逐年上升趋势，2016—2017年度最高（4.29%）。［结论］ 通过乳腺癌风险评估系统确定乳腺癌高危人群，分年龄段采用超声结合X线检查对高危人群进行有针对性的筛查，是提高乳腺癌检出率和筛查成本效益的重要途径，为我国乳腺癌防控工作提供科学经验。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the results of breast cancer screening among urban female residents in Chongqing from 2012 to 2017. ［Methods］ The breast cancer screening program was conducted among female residents aged 40~69 years old in urban areas of Chongqing municipality from October 2012 to October 2017. The breast cancer risk assessment was performed with questionnaire survey and high-risk subjects were investigated further，including ultrasonography and X-ray mamography. The high risk rates，screening rate and detection rates of breast cancer among urban female resident were calculated. ［Results］ A total of 116 028 women participated in questionnaire survey and breast cancer risk assessment during the five years；and 17 542 women were assessed as high-risk groups of breast cancer accounting for 15.12%. A total of 8538 high-risk subjects received ultrasound examination or/and X-ray mamography with a screening rate of 48.67%. The detection rate of suspicious lesions was 17.32%(1479/8538) and the detection rate of breast cancer was 3.15%(269/8538). The high-risk rate was highest in the 45~49 age group(20.11%)；the screening rate was highest in the 55~59 age group(53.35%)；the detection rate of suspicious lesions was highest in the 45~49 age group(24.57%). The detection rate of breast cancer showed an upward trend chronologically with the highest rate in 2016—2017(4.29%). ［Conclusion］ The results of 5-year screening for breast cancer in urban female residents of Chongqing municipality may provide experience for breast cancer prevention and control nationwide. |
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