昆明市2015年至2016年城市乳腺癌高风险人群筛查结果分析

Breast Cancer Screening in High-risk Population of Kunming Urban Communities for 2015 to 2016

目的分析昆明市2015年至2016年城市居民乳腺癌高风险率、筛查率和检出率,为开展乳腺癌早诊早治项目工作提供依据.方法在昆明市选择辖区10个街道办事处,动员40~69岁城市女性进行乳腺癌筛查,采用国家癌症中心统一制定的高危人群评估问卷初筛出高风险人群,40~44岁高风险人群采用彩色超声检查,45岁及以上采用彩色超声检查结合X线摄影检查.结果共有28 479人参加乳腺癌危险因素问卷调查,6307例(22.14%)被评估为高风险人群.实际临床筛查2 969人,参与率为47.07%,乳腺癌检出率为0.71%.45岁以上联合超声和X线摄影检查检出率明显优于单项检查(P<0.01).结论城市癌症早诊早治项目有利于筛查出乳腺癌高风险人群,分年龄段采用乳腺超声结合X线片的筛查能有效提高乳腺癌检出率,且有必要结合自身地域特点加强宣教.

Objective To investigate Breast cancer high--risk rate, screening rate, detection rate from 2015 to 2016 in Kunming urban area, and to provide the further evidence for Breast cancer screening, early detection and treatment programs. Methods The urban women with 40 to 69 years old in Kunming city were enrolled into breast cancer screening. Risk assessment system was used to find out high-risk persons. The high-risk person with 40 to 44 years old received ultrasound examination, while high-risk person with 45 years old and above received ultrasound combined with X-ray photography, Positive result defined as BI-RADS grade lVand V. Results A total of 28479 women participated in questionnaire survey for high-risk of breast cancer, 6307women were rated as high-risk groups with accounting for 22.14%. and 2969women received further examinations with a compliance rate of 47.07%.21women were positive with a detection rate of 0. 71%. 45 years old and above received ultrasound combined with X-ray photography can help to find the positive person （P〈0.01） . Conclusion The cancer screening, early detection and treatment programs may provide helpful for Chinese breast cancer prevention and control. Screening method based on different ages may provide helpful for Chinese breast cancer prevention and control.