遵义市3 107名妇女首次乳腺钼靶筛查结果分析

Analysis of first mammography screening results of 3 107 women in Zunyi city

摘要:

目的：探索早期乳腺癌筛查方法，以期做好乳腺癌的早发现、早诊断、早治疗工作。方法：对2010年3月-2011年5月到本院进行乳腺钼靶筛查的3 107名妇女检查结果进行分析。结果：经筛查检出乳腺癌6例，检出率为193.11/10万，年龄40～60岁，其中0期 DCIS 1例，Ⅰ期4例，Ⅱ期1例；乳腺原发性恶性淋巴瘤1例；癌前病变17例，包括乳头状瘤病5例，导管上皮增生1例，不典型增生11例，40～49岁年龄段占88%；腋窝副乳腺629例，检出率为20.24%，副乳腺的发生率随乳腺密度增加而增高。结论：本次筛查乳腺癌检出率高，乳腺钼靶检查在乳腺癌筛查中极为重要，所有对象均作钼靶检查会提高乳腺癌的检出率，彩超及临床乳腺检查可作为钼靶Ｘ线筛查的联合检查措施。

Abstract:

Objective：To explore a new screening way for early breast cancer，for the early discovery，early diagnosis and treatment of the disease. Methods：Retrospective analysis was made on the mammography screening of 3 107 women by our hospital from March 2010 to May 2011. Results：6 cases of breast cancer were detected by screening，with the detection rate of 193.11/100 000，all ranging from 40 to 60，including stage 0 DCIS in 1 case，stage Ⅰ in 4 cases，and stage Ⅱ in 1 case. Primary malignant lymphoma of the breast was in 1 case.Precancerous lesions was in 17 cases，including papillomatosis in 5 cases，ductal epithelial hyperplasia in 1 case，atypi－cal hyperplasia in 11 cases；the age of the screening targets was mainly between 40 and 49，which occupied 88%. Axillary accessory breast was in 629 cases，with the detection rate of 20.24%，and the incidence of accessory breast increased with the breast density． Conclusion：The detection rate of this screening for breast cancer is high. Mammography in breast cancer screening is extremely im－portant so that treating all objects with mammography may improve breast cancer detection rate；color ultrasonography and clinical breast examination （CBE） can be taken as the joint inspection measures of mammography screening.