述评:上消化道癌筛查及早诊早治的科学和策略
Commentary: Cancer Screening and Early Diagnosis and Treatment of Upper Digestive Tract in Science and Policy

作者: 陆建邦 :河南省癌症中心,河南省肿瘤防治办公室, 郑州;

关键词: 食管癌贲门癌胃癌高发区内镜筛查病理诊断早诊早治Esophagus Carcinoma Carcinoma of the Gastric Cardia Gastric Cancer High-Incidence Area Endoscopic Screening Pathological Diagnosis Early Diagnosis and Early Treatment

摘要:
2004年,国家卫生部启动食管癌早诊早治示范基地建设,2009年在全国部分省区相继开展食管/贲门癌、胃癌等高危人群筛查及早诊早治项目,并从2012年,将食管/贲门癌组和胃癌组合并为上消化道癌组。目前,已经扩展至29个省区142个市县,每年有超过20多万高危人群进入筛查队列实施早期诊断和早期治疗。本文对《中国癌症筛查及早诊早治技术方案》(以下称方案)及其在河南现场实践进行简要总结,探索有科学依据和符合中国国情的技术方案和行动策略,以推动此项工作可持续健康地发展。

Abstract: Since 2004, State Ministry of Health has started demonstration bases of early diagnosis and treat- ment of esophageal cancer, and in 2009 carried out the esophagus/Cardia cancer and stomach cancer screening for high-risk groups, such as the early diagnosis and treatment project and from 2012, the esophageal/Cardia carcinoma and gastric cancer to be combined with upper digestive tract cancer group. At present, the project has been extended to 29 provinces and 142 counties; each year more than 20 million screening high-risk population receive early diagnosis and early treatment. This paper gives a brief summary of the “cancer screening and early diagnosis and early treatment of Chinese technology program” in Henan and its practice, and explores a scientific basis and technical scheme in accordance with the China conditions and action strategies to promote the sustainable and healthy development of the work.

文章引用: 陆建邦 (2014) 述评:上消化道癌筛查及早诊早治的科学和策略。 临床医学进展, 4, 35-41. doi: 10.12677/ACM.2014.43007

参考文献

[1] 陆建邦, 刘志才, 马文浩 (2012) 河南食管癌高发区食管癌/贲门癌早诊早治项目实践与探索. 中国肿瘤, 11, 828-830.

[2] 张建功, 王福让, 张亚冰 (2014) 食管癌贲门癌胃癌高危人群的内镜筛查结果分析. 中华肿瘤杂志, 2, 158-160.

[3] Lu, Y.-F., Liu, Z.-C. and Li, Z.-H. (2014) Esophageal/gastric cancer screening in high-risk popu-lations in Henan Province, China. Asian Pacific Journal of Cancer Prevention, 15, 1419-1422.

[4] Aoki, K. (2005) Early history of cancer epidemiology and prevention in Japan. Asian Pacific Journal of Cancer Prevention, 7, 170-176.

[5] Suh, M., Choi, K.S. and Lee, Y.Y. (2013) Cancer screening in Korea, 2012: Results from the Korean national cancer screening survey. Asian Pacific Journal of Cancer Prevention, 14, 6459-6463.

[6] 董志伟 (2009) 中国癌症筛查及早诊早治技术方案(试行). 人民卫生出版社, 北京.

[7] 卫生部疾病预防控制局, 癌症早诊早治项目专家委员会 (2011) 癌症早诊早治技术方案(2011年版). 食管癌/贲门癌筛查及早诊早治技术方案. 人民卫生出版社, 北京.

[8] 赫捷, 陈万青 (2012) 2012年中国肿瘤登记年报. 军事医学科学出版社, 北京.

[9] 全国肿瘤防治研究办公室/全国肿瘤登记中心, 卫生部疾病预防控制局 (2011) 中国肿瘤登记地区2007年肿瘤发病死亡, 2010中国肿瘤登记年报. 军事医学科学出版社, 北京.

[10] Wang, G.Q., Abnet, C.C. and Sh, Q. (2005) His-tological precursort of esophageal squamous cell carcinoma: Results from a 13 year propective follow up study in a high risk population. Gut, 54, 187-192.

[11] Wang, L.D., Hong, J.Y. and Qiu, S.L. (1993) Accumulation of p53 protein in human esophageal precancerous lesions: A possible early biomarker for carcinogenesis. Cancer Research, 53, 1783.

[12] Dawey, S.M., Lewia, K.J. and Wang, G.Q. (1994) Squamous esophageal histology and subsequent risk of squamous cell carcinoma of the esophagus: A prospective follow up study from Linxian, China. Cancer, 74, 1686-1692.

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