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乳腺癌:流行病学、风险因素与筛查

Breast cancer: Epidemiology, risk factors and screening.

作者信息

Xu Hangcheng, Xu Binghe

机构信息

Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

出版信息

Chin J Cancer Res. 2023 Dec 30;35(6):565-583. doi: 10.21147/j.issn.1000-9604.2023.06.02.

Abstract

Breast cancer is a global health concern with a significant impact on the well-being of women. Worldwide, the past several decades have witnessed changes in the incidence and mortality of breast cancer. Additionally, epidemiological data reveal distinct geographic and demographic disparities globally. A range of modifiable and non-modifiable risk factors are established as being associated with an increased risk of developing breast cancer. This review discusses genetic, hormonal, behavioral, environmental, and breast-related risk factors. Screening plays a critical role in the effective management of breast cancer. Various screening modalities, including mammography, ultrasound, magnetic resonance imaging (MRI), and physical examination, have different applications, and a combination of these modalities is applied in practice. Current screening recommendations are based on factors including age and risk, with a significant emphasis on minimizing potential harms to achieve an optimal benefits-to-harms ratio. This review provides a comprehensive insight into the epidemiology, risk factors, and screening of breast cancer. Understanding these elements is crucial for improving breast cancer management and reducing its burden on affected individuals and healthcare systems.

摘要

乳腺癌是一个全球关注的健康问题,对女性的健康有着重大影响。在全球范围内,过去几十年见证了乳腺癌发病率和死亡率的变化。此外,流行病学数据揭示了全球不同的地理和人口差异。一系列可改变和不可改变的风险因素已被确定与患乳腺癌风险增加有关。本综述讨论了遗传、激素、行为、环境和与乳腺相关的风险因素。筛查在乳腺癌的有效管理中起着关键作用。各种筛查方式,包括乳腺X线摄影、超声、磁共振成像(MRI)和体格检查,有不同的应用,并且在实践中采用这些方式的组合。当前的筛查建议基于年龄和风险等因素,特别强调将潜在危害降至最低以实现最佳的利弊比。本综述全面深入地探讨了乳腺癌的流行病学、风险因素和筛查。了解这些因素对于改善乳腺癌管理以及减轻其对受影响个体和医疗保健系统的负担至关重要。

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