2018年苏州高新区适龄妇女宫颈癌和乳腺癌筛查结果分析与思考

Screening Results of Cervical Cancer and Breast Cancer among Women of Appropriate Age in Suzhou High-tech Zone in 2018

目的调查2018年苏州高新区适龄妇女宫颈癌和乳腺癌筛查开展情况及其筛查效果。方法根据苏州高新区妇女宫颈癌和乳腺癌检查项目实施方案,对2018年苏州高新区户籍35~64周岁妇女的宫颈癌和乳腺癌筛查结果进行分析。结果2018年本地区应进行宫颈癌检查25000例,实检23337例,筛查率93.35%。其中,筛查出宫颈癌8例,检出率34.28/10万。另有宫颈癌前病变25例,检出率107.13/10万;应进行乳腺癌检查25000例,实检24857例,筛查率99.43%。其中筛查出乳腺癌20例,检出率80.46/10万;乳腺BI-RADS 4级及以上67例,检出率269.54/10万。结论对苏州高新区适龄妇女开展宫颈癌和乳腺癌筛查能够及早发现癌变或癌前病变,有助于降低宫颈癌和乳腺癌死亡率,故相关部门需进一步完善“两癌”筛查制度,以提高适龄妇女的筛查率,切实保障其生命健康。

Objective To investigate the screening of cervical cancer and breast cancer among women of appropriate age in Suzhou High-tech Zone in 2018 and the results of screening.Methods According to the implementation plan of cervical cancer and breast cancer examination project for women in Suzhou High-tech Zone,the results of cervical cancer and breast cancer screening for women aged 35~64 years with household register in Suzhou Hightech Zone in 2018 were analyzed.Results In 2018,there should be 25000 cervical cancer screening cases in the region,of which 23337 were actually detected,with a screening rate of 93.35%.Among them,8 cases of cervical cancer were screened out,with a detection rate of 34.28/100000.In addition,there were 25 cases of precancerous lesions,with a detection rate of 107.13/100000.Breast cancer should be examined in 25000 cases,with 24857 actual cases,with a screening rate of 99.43%.Among them,20 cases of breast cancer were detected,with a detection rate of 80.46/100000.There were 67 patients with grade 4 or above of breast bi-rads,with a detection rate of 269.54/100000.Conclusion Screening for cervical cancer and breast cancer among women of appropriate age can detect early canceration or precancerous lesions and reduce the mortality of cervical cancer and breast cancer.