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

作　　者：杜佳 何美 邱惠 雷海科 张艳 吴永忠 周宏 周琦 张维 DU Jia;HE Mei;QIU Hui;LEI Hai-ke;ZHANG Yan;WU Yong-zhong;ZHOU Hong;ZHOU Qi;ZHANG Wei(Chongqing University Cancer Hospital/Chongqing Cancer Institute/Chongqing Cancer Hospital,Chongqing 400030,China)

机构地区：[1]重庆大学附属肿瘤医院/重庆市肿瘤研究所/重庆市肿瘤医院,重庆400030

出　　处：《中国肿瘤》2020年第12期933-938,共6页China Cancer

基　　金：国家重点研发计划精准医学研究重点专项(2016YFC0901400);重庆市科学技术局科研机构绩效激励引导专项(cstc2018jxjl130058)。

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116028人完成乳腺癌危险因素调查和高危人群评估,17542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。[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 Xray mamography.The high risk rates,screening rate and detection rates of breast cancer among urban female resident were calculated.[Results]A total of 116028 women participated in questionnaire survey and breast cancer risk assessment during the five years;and 17542 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.

关 键 词：乳腺癌 筛查 高危人群 早诊早治 重庆 

分 类 号：R737.9[医药卫生—肿瘤]