岭南现代临床外科2025，Vol.25Issue(6)：352-359,8.DOI:10.3969/j.issn.1009-976X.2025.06.002
广东省乳腺癌筛查效能评估及超声BI-RADS0/3类人群管理策略优化分析
Breast cancer screening in Guangdong:efficacy assessment and management optimization for ul-trasound BI-RADS 0/3 categories
谢四梅 1陈国珍 2朱彩霞 1伍彩霞 1区俏彦 1杨剑敏 1张安秦1
作者信息
- 1. 广东省妇幼保健院乳腺科,广州 511442
- 2. 广东省妇幼保健院妇女保健科,广州 511442
- 折叠
摘要
Abstract
Objective To evaluate the implementation efficiency of the screening program,and to focus on the incremental diagnostic value of X-ray examination in people classified by ultrasound BI-RADS into 0 and 3 categories.Methods The data were collected from the Guangdong Women and Children Information Platform and finally included 683 765 women aged 35-64 who participated in the free breast cancer screening project in Guangdong Province in 2024 for analysis.Results There were significant differences in the distribution of basic characteristics among different age groups(P<0.001).This study revealed no significant differences in histopathology biopsy rates across age groups.Overall,the biopsyrate was 67.97%,with a breast cancer detection rate of 120.66 per 100,000.In 2024,the detection rate of breast cancer in Guangdong Province increased with age(χ2=169.549,P<0.001).Taking the results of histopathological examination as the gold standard,the sensitivity of ultrasound examination was the highest(79.88%),the sensitivity of clinical examination and X-ray examination was low(20.36%,22.06%),and the specificity of the three methods was high(99.04%～99.94%).In the ultrasound category 0/3 population,X-ray examination downgraded 50.23%to category 1/2,and upgraded 3.76%to category 4/5.The overall detection rate of extra cancer was 26.62 per 100 000.Conclusion Ultrasound examination,as the main method of breast cancer screening,has the core diagnostic value in screening,and its sensitivity is significantly higher than other screening methods.X-ray examination provides definite incremental value for the ultrasound category 0/3 population,which can not only avoid unnecessary biopsy,but also identify additional cancer cases.关键词
乳腺癌/筛查方法/乳腺超声/BI-RADS 3类Key words
breast cancer/screening methods/breast ultrasound/BI-RADS 3分类
医药卫生引用本文复制引用
谢四梅,陈国珍,朱彩霞,伍彩霞,区俏彦,杨剑敏,张安秦..广东省乳腺癌筛查效能评估及超声BI-RADS0/3类人群管理策略优化分析[J].岭南现代临床外科,2025,25(6):352-359,8.
