2010—2012年29582例健康体检人员恶性肿瘤筛查分析

Screening for malignant tumors in 29 582 subjects undergoing physical examination from 2010 to 2012

摘要：目的了解恶性肿瘤在健康体检人群中的分布特点。方法对本中心2010—2012年排除既往有恶性肿瘤病史的29582例健康查体人员进行恶性肿瘤筛查，根据筛查结果，分别按年份、性别、年龄等进行分组比较恶性肿瘤检出率。结果新发并经病理确诊恶性肿瘤187例（检出率6．321‰），其中肺癌46例（1．555‰）居各种恶性肿瘤检出率之首，消化系统恶性肿瘤96例（3．245‰）居各系统恶性肿瘤检出率之首。男、女恶性肿瘤分别为123例（6．284‰）、64例（6．395‰），检出率差异无统计学意义（P〉0．05）。不同年龄阶段恶性肿瘤检出率由高到低依次为≥70岁（30．714‰）、60—69岁（14．06‰）、≤59岁（4．105‰）。结论在健康体检人群中积极开展恶性肿瘤筛查有助于恶性肿瘤的早期发现并提高恶性肿瘤检出率。

Objective To investigate the distribution of malignant tumors in subjects undergoing physical examination. Methods Mali- gnant tumors were screened in 29 582 subjects without history of malignant tumors who underwent physical examination in our center from 2010 to 2012. The detection rates of malignant tumors were compared according to their age and gender. Results Pathology -established new malignant tumors were detected in 187 patients （6.321‰）. Of these new tumors, pulmonary cancer was detected in 46 patients （1.555%o） followed by gastrointestinal malignant tumor in 96 patients（3 .245 ‰ ）. The malignant tumor was detected in 123 male patients and in 64 female patients （6.284‰ vs 6.395‰, P 〉 0.05）. The detection rate of malignant tumors was 30.714‰, 14.06‰, and 4.105‰, respectively, in ≥ 70 years old subjects, 60-69 years old subjects, and ≤ 59 years old subjects. Conclusion Mali- gnant tumors should be actively screened in subjects undergoing physical examination, which contributes to the early detection of malignant tumors.