乳腺高频钼靶X线联合乳管镜筛查乳腺癌

Ductoscopy combined X-ray mammography for breast cancer screening

目的了解广东省佛山市顺德区城市妇女乳腺高频钼靶X线联合乳管镜筛查乳腺癌的情况。方法2011年3月-2013年1月采用临床乳腺检查初筛，以及乳腺高频钼靶X线检查联合选择性乳管镜检查，对广东省佛山市顺德区3600例40岁以上妇女进行了乳腺癌筛查。结果3600例妇女共检出乳腺癌10例，检出率为278／10万（10／3600）。乳腺临床检查中发现乳腺异常1313例、乳腺肿块142例、乳头溢液行乳管镜检查100例；乳腺高频钼靶X线检查4级及以上者72例，总共占筛查人群的45．19％（1627／3600）。结论通过乳管镜联合乳腺高频钼靶X线片在正常人群中进行乳腺癌筛查，有助于发现早期乳腺癌，为临床早期治疗提供依据。

Objective Understand shunde Uistrict Foshan City, Guangdong Province in the incidence of breast cancer in women. Methods The joint selectivity ductoscopy examination of the clinical breast examination screening, breast X-ray radiography examination from March 2011 to January 2013, Shunde District, FoShan City, Guangdong Proviee, 3 600 bladder than 40 years old woman with breast cancer screening. Results Three thousand six hundred women were found in 10 cases of breast cancer, the detection rate of 278/100 000 （ 10/3 600）. Breast clinical examination found 1 313 cases of breast abnormalities, 142 cases of breast lumps, nipple discharge line fiberoptic ductoseopy to check the 100 cases, X-ray radiography examination of four and more than 72 cases, accounted for a total of 45.19% of the screening population （ 1 627/3 600）. Conclusions Joint ductoscopy X-ray radio-graphy examination of breast cancer screening in the normal population can help to detect early breast cancer, and to provide the basis for early clinical treatment.