梅州市农村妇女乳腺癌筛查结果分析

Analysis of breast cancer screening results of rural women in Meizhou city

目的分析梅州市农村妇女乳腺癌筛查结果。方法回顾性分析2017年1月~2019年12月梅州市农村妇女乳腺癌筛查结果,统计乳腺超声检查结果、乳腺X线检查结果、乳腺良性疾病情况、组织病理检查情况、TNM分期以及不同年龄段乳腺癌情况。结果143383例接受乳腺超声检查,361例为0级,63477例为1级,75394例为2级,2523例为3级,175例为4级,14例为5级,阴性1439例。2297例接受乳腺X线检查,17例为0级,8例为1级,599例为2级,1307例为3级,208例为4级,33例为5级,125例为乳腺良性疾病。组织病理检查应查人数277例,实查223例,其中,2例为小叶原位癌,7例为导管原位癌,29例为浸润性导管癌,1例为浸润性小叶癌,8例为其他恶性肿瘤;乳腺癌发病率为27.20/10万。47例乳腺癌患者中,40~49岁患者最多,构成比为51.06%(24/47)。21例获得TNM分期,其中2例0期,7例1期,6例ⅡA期,3例ⅡB期,3例Ⅲ期及以上。乳腺癌早期诊断率为71.43%(15/21)。结论乳腺癌筛查有利于及时发现乳腺癌患者,提高乳腺癌患者生存率,应大力开展农村地区妇女乳腺癌筛查工作,确保农村妇女的身心健康。

Objective To analyze the breast cancer screening results of rural women in Meizhou city.Methods The breast cancer screening results of rural women in Meizhou from January 2017 to December 2019 was retrospectively analyzed.The breast ultrasound examination results,mammography examination results,benign breast diseases,histopathological examinations,TNM staging,and breast cancers of different ages were statistically analyzed.Results 143383 cases underwent breast ultrasound examination,of which 361 cases were grade 0,63477 cases in grade 1,75394 cases in grade 2,2523 cases in grade 3,175 cases in grade 4,14 cases in grade 5,and 1439 cases were negative.2297 cases underwent mammography examination,of which 17 cases in grade 0,8 cases in grade 1,599 cases in grade 2,1307 cases in grade 3,208 cases in grade 4,33 cases in grade 5,and 125 cases were benign breasts disease.277 cases should be examined by histopathological examination,223 cases were actually examined.Among them,2 cases were lobular carcinoma in situ,7 cases were ductal carcinoma in situ,29 cases were invasive ductal carcinoma,1 case was invasive lobular carcinoma,and 8 cases were other malignant tumors;the incidence of breast cancer was 27.20/100000.Among the 47 patients with breast cancer,the highest proportion was 40-49 years old,with a constituent ratio of 51.06%(24/47).21 cases received TNM staging,including 2 cases in stage 0,7 cases in stage 1,6 cases in stageⅡA,3 cases in stageⅡB,and 3 cases in stageⅢand above.The early diagnosis rate of breast cancer was 71.43%(15/21).Conclusion Breast cancer screening is conducive to timely detection of breast cancer patients and improving the survival rate of breast cancer patients.Breast cancer screening for rural women should be vigorously carried out to ensure their physical and mental health.