桂林市11167名妇女乳腺癌筛查结果分析  

Breast cancer screening among 11 167 women in Guilin

作　　者：曾繁余[1] 张珊[1] 唐桂荣[1] 秦琴[1] 黄玥[1] 王行海[1] 黄颖[1] 钟萍[2] 戴文海[3] 张显岚[1] 

机构地区：[1]桂林医学院附属医院普外二科,广西桂林541001 [2]桂林医学院附属医院超声科,广西桂林541001 [3]桂林医学院附属医院放射科,广西桂林541001

出　　处：《中国普通外科杂志》2012年第5期508-510,共3页China Journal of General Surgery

基　　金：广西壮族自治区卫生厅资助项目(Z2010289);广西桂林市科学技术局资助项目(20100315-1)

摘　　要：目的:调查桂林市城区35～69岁妇女乳腺癌的发病情况。方法:采用临床乳腺检查初筛、选择性彩色超声、选择性乳腺钼靶X线摄片以及病理切片检查,对桂林市城区35～69岁11 167例妇女进行乳腺癌筛查。结果:共检出乳腺癌7例,检出率为62.68/10万。其中60～69岁年龄段的乳腺癌检出率为322.23/10万,50～54岁者为57.87/10万,40～44岁者为41.46/10万,35～39岁者为76.80/10万,45～49岁与55～59岁年龄段未检出乳腺癌。结论:桂林市城区妇女乳腺癌患病率较高。该筛查模式对于无肿块型乳腺癌有可能造成漏检。对我国乳腺癌筛查合适的模式还需要探索,建议重点探索基于B超检查的筛查模式。Objective：To investigate the incidence of breast cancer among women aged 35–69 years in Guilin urban area. Methods：A total of 1 1167 Guilin area women,aged 35–69 years,underwent breast cancer screening by the modalities that included clinical breast examination,selective color ultrasound,selective molybdenum target mammography and pathological section examination. Results：Seven cases of breast cancer were detected from the whole group,so the detection rate was 62.68/100 000（7/11 167）.The detection rates in age group of 60–69,50–54,40–44,and 35–39 were 322.23/100 000,57.87/100 000,41.46/100 000,76.80/100 000,respectively.No cancer was detected in the age group of 45–49 and 55–59. Conclusion：The incidence of breast cancer among women in Guilin is relatively high.The screening mode of this study can probably cause misdetection of no-lump breast cancer.In our opinion,the suitable screening mode for breast cancer in China still needs to be further explored and we suggest that the B-type ultrasound-based screening could be the mainstream for further development.

关 键 词：乳腺肿瘤/流行病学 筛查 发病率 

分 类 号：R737.9[医药卫生—肿瘤]