中国低资源地区女性乳腺癌筛查困境及对策  

Difficulties in and strategies on breast cancer screening in low-resource regions of China:a brief comment

作　　者：闫慧姣 王苏蒙 任文辉 贾萌萌[1] 乔友林[1] YAN Huijiao;WANG Sumeng;REN Wenhui;JIA Mengmeng;QIAO Youlin(School of Population Medicine and Public Health,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China;National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)

机构地区：[1]中国医学科学院北京协和医学院群医学及公共卫生学院全球健康学系,北京100730 [2]国家癌症中心,国家肿瘤临床医学研究中心,中国医学科学院北京协和医学院肿瘤医院,北京100021

出　　处：《中国公共卫生》2023年第10期1359-1362,共4页Chinese Journal of Public Health

基　　金：中国医学科学院医学与健康科技创新工程服务“一带一路”战略先导专项(2017–I2M–B&R–03);世界卫生组织/国际癌症研究署合作项目(CRA/SCR/2019/1)。

摘　　要：中国低卫生资源地区乳腺癌疾病负担增长速度较快,防控形势严峻。中国普遍采用超声作为初筛方法,但超声对操作者依赖性较强,应用于乳腺癌筛查中的长期效果尚需高质量前瞻性队列研究进行评估。自动乳腺容积超声和人工智能技术的发展将有望促进低卫生资源地区乳腺癌筛查质量的提升,但其在乳腺癌筛查中的效果有待进一步验证,应用模式也需继续探索。鉴于我国不同地区经济和医疗卫生条件差异较大,因此需要探索适配不同地区的筛查策略,尤其应重点关注低卫生资源地区的需求。The burden of breast cancer is increasing fast in low resource areas of China.Uultrasonography is widely used as a primary method for breast cancer screening in China.However,effective ultrasonography is highly dependent on the operators'professional skills and long-term efficacy of the ultrasonography screening needs to be evaluated with high-quality prospective cohort studies.The development of automated breast volume scanner and artificial intelligence technology is expected to promote the performance of breast cancer screening in regions with low health resources;the efficacy of the two means in breast cancer screening needs to be further verified and the implementation of the new process needs to be explored.Given the economic and medical heterogeneity across different regions of China,it is necessary to explore screening strategies suitable for different situations,especially for regions with low health resources.

关 键 词：乳腺癌 筛查 低资源地区 

分 类 号：R737.9[医药卫生—肿瘤]