肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2009年
1期
62-64
,共3页
赵晚苗%高晋南%梁小波%范秀丽
趙晚苗%高晉南%樑小波%範秀麗
조만묘%고진남%량소파%범수려
乳腺肿瘤%流行病学%发病趋势%癌症注册制度
乳腺腫瘤%流行病學%髮病趨勢%癌癥註冊製度
유선종류%류행병학%발병추세%암증주책제도
Breast neoplasms%Incident trend%Epidemiological characteristic%Cancer registration
目的 分析乳腺钼靶X线检查数据,间接评估山西省乳腺癌发病趋势.方法 回顾性分析2005年至2007年在山西省肿瘤医院放射科进行乳腺钼靶X线检查患者的资料.对乳腺癌及良性乳腺疾病的诊断数目、比例、年龄分布、两侧乳腺癌分布和乳腺癌病理组织类型进行总结.结果 2005年至2007年,行乳腺钼靶X线检查的患者从533例增加到1975例.诊断为乳腺癌的患者由62例快速增长至400例.乳腺癌患者占所有行乳腺钼靶X线检查的患者人数的比例有增长趋势(2005年、2006年、2007年分别为11.6%、17.8%、20.3%,P<0.001).乳腺癌患者的平均年龄显著大于良性患者(49.98岁和42.8岁,P<0.001).乳腺癌阳性率最高人群为45岁至54岁年龄组(37.6%).左侧乳腺发病率大于右侧(53.42%和45.98%).大多数病理组织类型为浸润性导管癌(78.95%);浸润性小叶癌和导管原位癌分别为8.7%和5.39%.结论 乳腺癌发病率呈增长趋势,其流行病学特点与先前有关中国女性乳腺癌发病情况的研究相一致.建立乳腺癌注册制度和系统完整的乳腺疾病数据库,将为推测未来乳腺癌发病率、癌谱变化规律以及评估乳腺癌的防治效果提供科学的依据.
目的 分析乳腺鉬靶X線檢查數據,間接評估山西省乳腺癌髮病趨勢.方法 迴顧性分析2005年至2007年在山西省腫瘤醫院放射科進行乳腺鉬靶X線檢查患者的資料.對乳腺癌及良性乳腺疾病的診斷數目、比例、年齡分佈、兩側乳腺癌分佈和乳腺癌病理組織類型進行總結.結果 2005年至2007年,行乳腺鉬靶X線檢查的患者從533例增加到1975例.診斷為乳腺癌的患者由62例快速增長至400例.乳腺癌患者佔所有行乳腺鉬靶X線檢查的患者人數的比例有增長趨勢(2005年、2006年、2007年分彆為11.6%、17.8%、20.3%,P<0.001).乳腺癌患者的平均年齡顯著大于良性患者(49.98歲和42.8歲,P<0.001).乳腺癌暘性率最高人群為45歲至54歲年齡組(37.6%).左側乳腺髮病率大于右側(53.42%和45.98%).大多數病理組織類型為浸潤性導管癌(78.95%);浸潤性小葉癌和導管原位癌分彆為8.7%和5.39%.結論 乳腺癌髮病率呈增長趨勢,其流行病學特點與先前有關中國女性乳腺癌髮病情況的研究相一緻.建立乳腺癌註冊製度和繫統完整的乳腺疾病數據庫,將為推測未來乳腺癌髮病率、癌譜變化規律以及評估乳腺癌的防治效果提供科學的依據.
목적 분석유선목파X선검사수거,간접평고산서성유선암발병추세.방법 회고성분석2005년지2007년재산서성종류의원방사과진행유선목파X선검사환자적자료.대유선암급량성유선질병적진단수목、비례、년령분포、량측유선암분포화유선암병리조직류형진행총결.결과 2005년지2007년,행유선목파X선검사적환자종533례증가도1975례.진단위유선암적환자유62례쾌속증장지400례.유선암환자점소유행유선목파X선검사적환자인수적비례유증장추세(2005년、2006년、2007년분별위11.6%、17.8%、20.3%,P<0.001).유선암환자적평균년령현저대우량성환자(49.98세화42.8세,P<0.001).유선암양성솔최고인군위45세지54세년령조(37.6%).좌측유선발병솔대우우측(53.42%화45.98%).대다수병리조직류형위침윤성도관암(78.95%);침윤성소협암화도관원위암분별위8.7%화5.39%.결론 유선암발병솔정증장추세,기류행병학특점여선전유관중국녀성유선암발병정황적연구상일치.건립유선암주책제도화계통완정적유선질병수거고,장위추측미래유선암발병솔、암보변화규률이급평고유선암적방치효과제공과학적의거.
Objective To evaluate this disease' s incident trend for Shanxi province through hospital-based statistics. Methods Breast cancer data was obtained from the department of radiology in Shanxi cancer hospital for the period 2005-2007. Results Between 2005 and 2007, the numbers of women who accepted mammography rapidly increased from 533 to 1975. 62 women had been diagnosed as breast cancer in 2005, while this number had reached to 400 in 2007. The proportion of breast malignancies during this three year periods had statistically increased with 11.6 %, 17.8 %, and 20.3 % respectively (P<0.001). The mean age of breast cancer patients was older than benign disease patients (50 vs 42.8, P<0.001). The highest breast cancer age group was those aged 45 to 54 (37.6 %). Left breast cancer was higher than right side (53.4 % vs 46 %). Most histological type was invasive ductal carcinoma (78.95 %). The proportion of invasive lobular carcinoma and duetal carcinoma in situ were 8.7 % and 5.4 % respectively. Conclusion Breast cancer incidence rate has been increased in our city. These results are consistent with previous similar studies. Thus, it is essential to establish population cancer incidence registration and develop clinical data system. This will result in better understanding of cancer incidence trends and benefit in the evaluation of the effective cancer control measures.
