Breast carcinoma sifts several keys checked

Breast carcinoma sifts several keys checked
Breast cancer has illness coming on and hastens to increase, but there is not any symptom in early days in 80% of the breast cancer. Disease of Ministry of Public Health authorized Chinese Anti-Cancer Association to start the general survey project of mammary gland several years ago in the office when being accused of. Worker of Chinese society association prevent and cure special fund and Shandong Dongying Municipal Health Bureau of breast carcinoma and hold breast carcinoma to sift, check and examine the technological training class early recently. Famous experts such as Professor Xu GuangWei,etc. diagnose etc. that has done the thematic lecture on clinical pathology and supersound that breast carcinoma sift checking, breast carcinoma for more than 300 doctors at the basic level in the locality. 1 is sifted to check that uses the X-ray, or use the supersound? Xu GuangWei ( Clinical tumour institute's professor of Peking University) : Take a photograph of slice the mammary gland X-ray in order to mainly sift and check the means in the West. A plurality of authoritative random research verifies that can improve the examining rate early, reduce mortality. But the epidemiology characteristic of woman's breast cancer of our country is different from that of the west, first, have illness coming on age to be relatively small, peak 45- 49 years old, different from the west to be high to take place at 60 menopausal women after year old. Second, Chinese women's mammary gland is relatively dense, different from more fat in western woman's mammary gland. Western women's breast cancer is relatively apt to be found by the X-ray in early period. Chinese women generally relatively light breast have in addition, traditional X-ray take a photograph of slice, must clamp breast, could make mammary gland all apparent to look like, will make feeling out of sorts even pain of examining etc. and refuse to examine. Especially X-ray take a photograph of a general survey leak the examining rate certainly, and such leak and examine taking place in the dense mammary gland more. We take a photograph of slice the conventional X-ray while generally investigating the technological scheme in the project at breast carcinoma, should use the ultrasonic inspection at the same time, in order to compare the advantage of the two. Examine into woman, divide into, less than or equal to 44 year old, 45 year old - 54 year old and greater than or equal to 55 year old three, go on, compare with, find, less than or equal to 44 year old group's supersound finally, the two of 45 years old - group of 54 years old are similar, complementary, and it is superior to the supersound to greater than or equal to the 55 -year-old old X-ray of menopause group. So we think, breast carcinoma is sifted, checked that can be chosen different census methods according to different age brackets: Can check and sift for the first time with the supersound while less than or equal to years old group 44ing, make the X-ray to take a photograph of slice to the suspicious one again; 45 year old that have higher morbidities -54 year old group should two law spend together, in order to reduce, leak, examine; Greater than or equal to the 55 -year-old seniors class, wither because of menopause because of the mammary gland, is filled with by a large number of adipose tissues, help the X-ray to take a photograph of one slice of inspections, so recommend the X-ray to take a photograph of slice. Hou XinYan ( Professor of the mammary gland centre of general hospital of Military Area Command of Beijing) : The supersound can reveal very abundant dissection structure and pathology of mammary gland change the detail; The supersound has not been damaged, can repeat numerous inspections; Supersound make a reservation lead, down, puncture, examine simple and easy to do while being alive; The supersound reveals the circle even visual field after the simple table tissue is to the mammary gland, can visit cyst of finding 0.2cm- 0.3cm diameter and even smaller substantive pathological change of 0.5cm; Whether there are swollen things in shape and conduit of the mammary gland conduit to can observe; The blood that can offer lump supplies the state, reveal the structure of guiding the regional lymph node changes. 2 sift, check age fix on how old be? Xu GuangWei: It is generally over 40 abroad. Because of our country breast cancer have illness coming on relatively young, it is lower than the western countries also for old age to have illness coming on, the age bracket of the general survey target can be fixed for 35 years old - 70 years old. 3 non- typical outgrowth relations with breast cancer? Kan show( Professor of dept. of pathology of the People's Hospital of Peking University) : Classified cancelling newly in WHO mammary gland tumour in 2003 " The fiber bag mammary gland disease " , " bad disease of structure of mammary gland " And " mammary gland hyperplasia disease " Wait for name of disease, increase pathological change of the natural disposition, divide upper skin into: Tumour under small leaf, increase the intersection of natural disposition and pathological change, the intersection of papilla and leather hyperplasia, leather pathological change,etc. at the skin at the ill benign tumour in the conduit in the conduit. Leather hyperplasia usually type includes in the conduit, 4 type smooth type atypical hyperplasia, conduit atypical hyperplasia, conduit normal position cancer altogether. Foreign 10542, followed up a case by regular visits to 17.5 relevant statistical data indicated, conduit atypical hyperplasia 12.0% will turn into and soak cancer, small the intersection of leaf and atypical hyperplasia 12.7% will turn into, soak cancer, and general the intersection of mammary gland and hyperplasia 0.1% can turn into, soak cancer only. (Li Wen)

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