乌鲁木齐市城市社区高风险人群乳腺癌筛查结果分析

Breast cancer screening in high-risk population of Urumqi urban communities

目的对乌鲁木齐市城市社区40-69岁高风险人群乳腺癌筛查的结果进行分析,探讨城市人群开展乳腺癌筛查的方法及意义。方法通过防癌风险评估问卷调查筛选出乳腺癌高风险人群进行筛查,筛查方法为40-44岁女性采用乳腺超声检查,45-69岁女性采用超声检查结合X线片检查。结果共评估出乳腺癌高风险4 738人,实际临床筛查2 207人,顺应性为46.58%,根据乳腺影像报告和数据系统（Breast Imaging and Reporting Data System,BI-RADS）分级进行筛查结果判定,阴性1 904人（86.27%）,可疑阳性258人（11.69%）,阳性45人（2.04%）。确诊乳腺癌6例,乳腺癌检出率为0.27%,其中早期乳腺癌5例,早诊率83.3%。结论以防癌风险评估为基础,分年龄段采用乳腺超声结合X线片的筛查方法,可以有效筛查出早期乳腺癌及良性病变,做到二级预防。

Objective To analyze the results of breast cancer screening in high-risk population of Urumqi urban communities. Methods A high risk population was enrolled by a cancer risk assessment questionnaire survey in Urumqi urban communities. Screening methods include ultrasonography（ for age between 40-44 years） and ultrasonography combined with mammography（ for age between 45-69 years）. Results Among all surveyed subjects,4 738 women were defined as high-risk population for breast cancer,and 2 207 women received further examinations with a compliance rate of46. 58%. According to Breast Imaging and Reporting Data System（ BI-RADS）,1 904（ 86. 27%） women were negative,258（ 11. 69%） women were suspected positive and 45（ 2. 04%） women were positive. Six breast cancer cases were confirmed with a detection rate of 0. 27%,among whom 5 cases were early breast cancer accounting for 83. 3%. Conclusion Based on cancer risk assessment,ultrasonography combined with mammography can effectively detect early breast cancer.