中国乳腺癌防控形势面临挑战

China faces a challenge of breast cancer prevention and control

中国乳腺癌的发病与死亡呈上升趋势，与全球相比形势不容乐观，防控措施面临挑战。针对中国乳腺癌的防控工作，应借鉴全球乳腺癌筛查经验。结合中国女性乳腺癌流行病学特征及中国国情，做好乳腺癌群体筛查，提高早诊率；规范乳腺癌临床诊疗行为，提高整体水平，降低死亡率；对生活、饮食习惯进行干预，动员全社会远离乳腺癌的危险因素，降低乳腺癌发病率：健全覆盖全国的乳腺癌发病登记系统，为调整防控策略提供帮助；整合科技资源，由科技主管部门和医疗行政部门组织开展大样本多中心临床试验及转化性研究，提高科研水平。中国乳腺癌的防控任重而道远。

The incidence and mortality of breast cancer is in an increasing trend. In contrast to the global breast cancer situation, the prevention and control is challenging in China. Some suggestions are presented to the project of breast cancer prevention and control in China. Combining the global screening experiences with the epidemiologieal features of Chinese female breast cancer, aims to improve the population screening and early detection rate. Standardizing clinical diagnosis and treatment practice, aims to increase the efficacy and decrease the mortality. Intervening lifestyle and dietary behaviors, and intends to reduce risk exposure and incidence. Building national breast cancer registry provides preventive strategies. Great efforts should be made to carry out large sample muhieenter clinical trails and translational research on the prevention and cotrol of breast cancer coordiated by health care service and science and technology administrations. Breast cancer prevention and control has a long way to go in China.