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Primary Screening for Breast Diseases among 17618 Women in Wufeng Area, a Region with High Incidence of Cervical Cancer in China

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【作者】 张庆华刘眈黄传英胡婷沈健胡美玲杨茹陈枝岚来主会刘桂玲梅业冬向群英李雄黄科程王少帅潘秀玉严玉婷李夜陈茜奚玲邓东锐汪辉王世宣卢运萍马丁李双

【Author】 Qinghua ZHANG 1, 3, Dan LIU 1, Chuanying HANG 2, Ting HU 1, Jian SHEN 1, Meiling HU 2, Ru YANG 1, Zhilan CHEN 1, Zhuhui LAI 2, Guiling LIU 2, Yedong MEI 2, Qunying XIANG 2, Xiong LI 1, Kecheng HUANG 1, Shaoshuai WANG 1, Xiuyu PAN 1, Yuting YAN 1, Ye LI 1, Qian CHEN 1, Lin XI 1, Dongrui DENG 1, Hui WANG 1, Shixuan WANG 1, Yunping LU 1, Ding MA 1, Shuang LI 1# 1Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Tech-nology, Wuhan 430030, China 2Department of Maternity and Child Health Care Hospital, Tujia Nationality Autonomous County, Wufeng 443400, China 3Department of Obstetrics and Gynecology, Wuhan Central Hospital, Wuhan 430014, China

【机构】 Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Tech-nologyDepartment of Obstetrics and Gynecology, Wuhan Central HospitalDepartment of Maternity and Child Health Care Hospital, Tujia Nationality Autonomous County

【摘要】 In this study, the current status for breast diseases in a region with high-incidence of cervical cancer were epidemiologically investigated. From March to August, 2009, 17618 women, from Wufeng area of Hubei province, China, were recruited to screen breast diseases by using breast infrared diagnostic apparatus. Other diagnostic methods, such as B-mode ultrasound, X-ray mam-mography, needle biopsy and pathological examination were, if necessary, used to further confirm the diagnosis. The screening showed that 5990 of 17618 cases (34.00%) had breast diseases, 5843 (33.16%) had mammary gland hyperplasia, 48 (0.27%) had breast fibroadenoma, 11 (0.06%) had breast carcinoma, and 88 (0.50%) had other breast diseases. The peak morbidity of breast cancer was found in the women aged 50-60 ages. The morbidity of breast cancer was significantly increased in women elder than or equal to 50 years old (n=8, 0.157%) in comparison with that in the subjects younger than 50 years old (n=3, 0.024%) (u=2.327, P<0.05). It was shown that the occurrence of breast diseases was concentrated in women aged 20-40 years, while the total morbidity reached its peak at the age of 30 years and then decreased sharply after age of 40. Compared with the patients elder than or equal to 40 years old (n=3289, 27.46%), the morbidity rate of breast diseases was sig-nificantly increased in women less than 40 years old (2648 cases, 47.18%; P<0.001). However, there was no significant difference in the morbidity of breast diseases between the age group of 20-29 years and that of 30-39 years (P=0.453), and both of them were high. There was no significant asso-ciation between the morbidity of breast diseases and cervical cancer. Since the morbidity of breast diseases was higher among young women, more attention should be paid to the screening of breast diseases among young women for early diagnosis.

【Abstract】 In this study, the current status for breast diseases in a region with high-incidence of cervical cancer were epidemiologically investigated. From March to August, 2009, 17618 women, from Wufeng area of Hubei province, China, were recruited to screen breast diseases by using breast infrared diagnostic apparatus. Other diagnostic methods, such as B-mode ultrasound, X-ray mammography, needle biopsy and pathological examination were, if necessary, used to further confirm the diagnosis. The screening showed that 5990 of 17618 cases (34.00%) had breast diseases, 5843 (33.16%) had mammary gland hyperplasia, 48 (0.27%) had breast fibroadenoma, 11 (0.06%) had breast carcinoma, and 88 (0.50%) had other breast diseases. The peak morbidity of breast cancer was found in the women aged 50–60 ages. The morbidity of breast cancer was significantly increased in women elder than or equal to 50 years old (n=8, 0.157%) in comparison with that in the subjects younger than 50 years old (n=3, 0.024%) (u=2.327, P<0.05). It was shown that the occurrence of breast diseases was concentrated in women aged 20–40 years, while the total morbidity reached its peak at the age of 30 years and then decreased sharply after age of 40. Compared with the patients elder than or equal to 40 years old (n=3289, 27.46%), the morbidity rate of breast diseases was significantly increased in women less than 40 years old (2648 cases, 47.18%; P<0.001). However, there was no significant difference in the morbidity of breast diseases between the age group of 20–29 years and that of 30–39 years (P=0.453), and both of them were high. There was no significant association between the morbidity of breast diseases and cervical cancer. Since the morbidity of breast diseases was higher among young women, more attention should be paid to the screening of breast diseases among young women for early diagnosis.

【基金】 supported by grants from the foundation of Key Basic Research and Development Program of China(Program973)(No.2009CB521808);National Major Science and Technology Project(Key New Drug Creation and Development Program)(No.2009ZX09103-739);National Natural Science Foundation of China(No.30973472,81001151,81071663,30973205,30973184,81101964)
  • 【文献出处】 Journal of Huazhong University of Science and Technology(Medical Sciences) ,华中科技大学学报(医学英德文版) , 编辑部邮箱 ,2012年02期
  • 【分类号】R737.33
  • 【被引频次】5
  • 【下载频次】85
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