珠海市2003~2005年妇女乳腺癌普查报告

目的:探讨珠海市乳腺癌发病状况及危险因素。方法:2003~2005年对珠海市城区54 803名妇女进行普查,内容包括问卷调查、乳房触诊、红外线扫描、超声、钼靶摄影检查。结果:发现乳腺癌19例(34.66/10万),41~50岁为高峰发病年龄组。乳腺癌的发生与年龄的增长、有乳腺癌家族史、月经初潮年龄<12岁、无哺乳史、月经紊乱、服用避孕药物、高脂饮食、饮酒、精神压力、乳腺增生病史等因素有关,有显著的统计学差异,P<0.05。结论:坚持定期防癌普查,加强乳腺癌2级预防,尽量避免和积极治疗乳腺癌的危险因素,减少癌前病变。教会妇女进行乳房自我检查,提高妇女自我保健意识,是乳腺癌防治的有效补救措施。乳腺癌患者早期发现的意义远大于目前任何一种治疗方案。

A general investigation report on breast carcinoma of women in Zhuhai City from 2003 to 2005

Objective:To explore the incidence and risk factor of breast carcinoma in Zhuhai City.Methods:A general investigation was operated on 54 803 women in Zhuhai City by questionnaire,breast palpation,infrascan,ultrasound and molybdenum target radiography.Results:19 cases of breast carcinoma were found.The highest morbidity risk rate was found in women aged from 41 to 50.Breast carcinoma was related with age increase,family history of breast carcinoma,menarche younger than 12,no lactation,menstrual disorder,use of contraceptive,high fat diet, drinking,stress,history of hyperplasia of mammary glands,ect(P<0.05).Conclusion:Effective remedy includes periodically consistent general investigation,reinforced secondary prevention,avoidance and active treatment of risk factor,reduction of precancerous lesion,to teach the women how to do breast self-examination and to enhance self-health care consciousness of women.Early finding of breast carcinoma is more significant than any therapy presently.