2015-2016年度南通市城市居民癌症风险评估和筛查结果分析

发布时间：2019-06-18 13:27

【摘要】：目的了解南通市2015-2016年度城市居民癌症高风险率、筛查率和检出率,为持续开展城市癌症早诊早治项目工作提供依据。方法选取40~69周岁常住户籍居民,采用国家统一的问卷开展有关癌症的流行病学调查和高风险评估。评估出的高风险对象免费接受肺癌、肝癌、上消化道癌(食管癌和胃癌)、结直肠癌和女性乳腺癌的临床筛查。结果共完成25 056例问卷调查和风险评估,其中肺癌、食管癌、胃癌、肝癌、结直肠癌和女性乳腺癌的高风险人群检出率分别为21.9%、27.6%、26.5%、17.3%、18.5%和7.6%,其中单癌种、两癌种、三癌种、四癌种和五癌种高风险的比例依次为24.0%、14.2%、9.5%、5.2%和2.3%。男性居民各部位癌种高风险率及多部位癌种高风险率均显著高于女性。各部位癌种高风险率及多部位癌种高风险率随年龄逐渐升高。癌症高风险人群筛查参与率分别为肺癌30.0%、食管癌1.7%、胃癌12.5%、肝癌36.2%、结直肠癌8.8%和乳腺癌56.9%。肺部阳性病例共63例,检出率3.8%。胃部阳性病例27例,检出率3.3%。肝脏AFP升高23例,肝脏阳性病例3例,检出率分别为1.5%和0.1%。结直肠阳性病例37例,检出率9.1%。乳腺阳性病例15例,检出率2.6%。结论需进一步完善城市癌症早诊早治策略,提高早诊早治效果。
[Abstract]:Objective to investigate the high risk rate, screening rate and detection rate of cancer in Nantong city in 2015 / 2016, and to provide evidence for the project of early diagnosis and early treatment of urban cancer. Methods 40 resident residents aged 69 years old were selected and the epidemiological survey and high risk assessment of cancer were carried out by using the unified national questionnaire. The evaluated high-risk subjects received free clinical screening for lung cancer, liver cancer, upper digestive tract cancer (esophageal and gastric cancer), colorectal cancer and female breast cancer. Results A total of 25 056 cases were investigated and risk assessed. the high risk rates of lung cancer, esophageal cancer, gastric cancer, liver cancer, colorectal cancer and female breast cancer were 21.9%, 27.6%, 26.5%, 17.3%, 18.5% and 7.6%, respectively. The high risk rates of single cancer, two cancer, three cancer, four cancer and five cancer were 24.0%, 14.2% and 9.5%, respectively. the high risk rates of lung cancer, esophageal cancer, gastric cancer, colorectal cancer and female breast cancer were 21.9%, 27.6%, 26.5%, 17.3%, 18.5% and 7.6%, respectively. 5.2% and 2.3%. The high risk rate of cancer species and the high risk rate of multi-site cancer species in male residents were significantly higher than those in women. The high risk rate of cancer species and the high risk rate of multi-site cancer species increased gradually with age. The participation rates of lung cancer, esophageal cancer, gastric cancer, liver cancer, colorectal cancer and breast cancer were 30.0%, 1.7%, 12.5%, 36.2%, 8.8% and 56.9%, respectively. 63 cases were positive in lung, the detection rate was 3.8%. 27 cases were positive in stomach, the detection rate was 3.3%. Liver AFP increased in 23 cases and liver positive in 3 cases, the positive rates were 1.5% and 0.1%, respectively. The positive rate of colorectal cancer was 9.1% (37 / 37). There were 15 cases of breast positive, the detection rate was 2.6%. Conclusion it is necessary to further improve the strategy of early diagnosis and early treatment of urban cancer and improve the effect of early diagnosis and early treatment.
【作者单位】：南通市疾病预防控制中心健康教育与慢性病防制科;
【基金】：南通市科技局项目(HS149052)
【分类号】：R73-31

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