Analysis of Results of Endoscopic Screening and Early Diagnosis and Treatment of Upper Digestive Tract Carcinoma More than 9 Million High-Risk Groups in Henan
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:
Abstract: Objective: To study the process and results of endoscopic screening and early diagnosis and treatment for the cancer of upper digestive tract in high-incidence areas in Henan. Methods: 12 high-incidence cities and counties of upper gastrointestinal carcinoma in Henan province were included in this study. People aged 40-69 were set to the target population. Except contraindications for endoscopy, in accordance with the national technical scheme of early cancer diagnosis and treatment, endoscopic screening and histologic diagnosis for human esophagus, cardia and gaster of the target people were carried out. Results: During the 5-year period, more than 90,000 cases had a total sieve check, and in the 89,495 cases which entered the analysis, various precancerous in anatomy parts esophagus, cardia and gaster were found: 26,199 subjects (29.27%) in esophagus, 23,337 subjects (26.08%) in cardia and 3248 subjects (5.20%) in gaster respectively. A total of 2095 cases were found to have cancers (2.34%), followed by anatomy parts for 1.38%, and 0.73% and 0.33% respectively, among them 1706 cases had early stage with an early diagnosis rate was 81.72%. More than 3000 cases have been followed-up screening in near future, and we made a brief report on the 5-year treatment in Linzhou. Conclusion: The results of this study demonstrate that endoscopic screening and early diagnosis and treatment for the target population aged at 40 - 69 is feasible in high-incidence areas of upper digestive tract carcinoma. We could intervene various types of precancerous lesions and have minimally invasive treatments to cancer developing in the early stages, which have positively effects on the prevention and treatment of upper digestive tract cancer and reducing mortality.
文章引用: 陆建邦 , 王福让 , 张亚冰 , 王振海 , 党可军 , 马 文浩 , 秦思豫 , 王宏伟 , 孙喜斌 (2016) 河南9万例高危人群上消化道癌内镜筛查及早诊早治分析。 世界肿瘤研究， 6， 1-7. doi: 10.12677/WJCR.2016.61001
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