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目的了解福建省农村妇女乳腺癌的流行情况。方法采用乳腺临床体检、彩超与钼靶检查相结合方法对27个县(市、区)36 075名35~64岁农村妇女进行普查。结果 36 075名35~64岁农村妇女中,过去接受过检查者占17.4%;病理检查确诊乳腺癌29例,检出率80.4/10万,早诊率34.5%,患者平均(49.8±6.5)岁;BI-RADS分级情况:2级和3级各1例(3.4%),4级19例(65.6%),5级8例(27.6%);最终诊断情况为:小叶瘤变和恶性分叶状肿瘤各1例(3.4%),导管原位癌6例(20.7%),微小浸润癌2例(6.9%),浸润癌19例(65.6%)。结论普及妇女乳房保健知识和自我检查方法,采用乳腺临床检查联合彩超检查作为农村妇女普查手段符合中国实际情况。
Objective To understand the prevalence of breast cancer among rural women in Fujian Province. Methods A total of 36 075 rural women aged 35-64 years in 27 counties (cities and districts) were enrolled in this study by means of clinical breast examination, color Doppler ultrasound and mammography examination. Results Among the 36 075 rural women aged 35-64 years, 17.4% had been examined in the past; 29 cases were diagnosed as breast cancer by pathology, the detection rate was 80.4 / 100000, the rate of early diagnosis was 34.5%, and the average was 49.8 ± 6.5. Years old; BI-RADS grading: 1 case (3.4%) in grade 2 and 3, 19 cases (65.6%) in grade 4 and 8 cases (27.6%) in grade 5; the final diagnosis was lobular neoplasia and malignancy One case of phyllodes tumor (3.4%), six cases of ductal carcinoma in situ (20.7%), two cases of micro-invasive carcinoma (6.9%) and 19 cases of invasive carcinoma (65.6%). Conclusion The popularization of women’s breast health knowledge and self-examination methods, the use of breast clinical examination combined with color Doppler ultrasound examination as rural women census means in line with China’s actual situation.