Analysis Of Screening Results Of Early Diagnosis And Early Treatment Of Urban Residents In Jincheng From 2014 To 2015

Obejective: Through the cancer earlier diagnosis and treatment program for urban inhabitants implemented in Jincheng City,to understand the population of cancer higher risk,clinical screening rate,cancer detection rate and so on.Provide the reference for implementing cancer earlier diagnosis and treatment work in Jincheng city,exploring the strategy,improving the early diagnosis and treatment rate,survival rate and QOL for the Patient,reducing the cancer morbidity,increasing the utilization of medical resources,make great effort to contain the urban cancer high momentum.Method: Use the against cancer risk assessment questionnaire from the Project group to make an investigation,the questionnaire including the basic information,eating habits,living environment,lifestyle and the habits,psychology and emotion,disease history,family history of cancer,physiology of the female reproductive system,reproductive history and so on.Entering the database unified after finishing the questionnaire,and then it will be evaluated through the risk evaluation system developing by the national cancer institute and the backgrounder.According to the risk evaluation result,organize “cancer high risk” population to make a clinical screening in the Jincheng general hospital.Using the Low-Dose spiral CT to do the screening for the high risk population of carcinoma of the lungs;using the liver B-mode ultrasound +AFP to do the screening for the high risk population of cancer of the liver;using the electronic gastroscopy + pathologic biopsy to do the screening for the high risk population of upper digestive tract cancer;for the high risk population of breast cancer-female,using the breast B-mode ultrasound to do the screening for the population below 45 years and using breast B-mode ultrasound + molybdenum target combined screening for the population above 45 years;using the electroniccolonoscopy + Pathologic biopsy to do the screening for the high risk population of the colorectal cancer.Result: During 2014-2015,“urban cancer earlier diagnosis and treatment Program” in Jincheng city total conduct five cancer(carcinoma of the lungs,cancer of the liver,upper digestive tract cancer,colorectal cancer and breast cancer-female)high risk evaluation 15015 Person-time,2962 Persons are evaluated high risk of carcinoma of the lungs,high risk rate is 19.73%;1482 cases are evaluated high risk of cancer of the liver,high risk rate is 9.87%;5511 cases are evaluated high risk of upper digestive tract cancer,high risk rate is 36.7%;1823 cases are evaluated high risk of colorectal cancer,high risk rate is 12.14%;1079 cases are evaluated high risk of breast cancer among the female,high risk rate is 14.34%.In addition,the risk of lung cancer,liver cancer,upper gastrointestinal cancer,and colorectal cancer were higher than those of women at high risk for high risk assessment.In terms of age,lung cancer,liver cancer,colorectal cancer in high risk population,are aged 50-59 groups at high risk rate;upper digestive tract cancer risk increased with age;people at high risk of breast cancer,the highest 40-49 age group,followed by the 50-59 age group,60-69 years old was the lowest.The evaluation results showed that the 6357 people have high risk of cancer(42.33%)and 4730 single cancer high risk(31.50%),2395 of two cancer high risk(15.95%),1062 of three cancer high risk(7.07%),367 of four cancer high risk(2.44%),105 five kinds of cancer high risk(0.70%).Conduct clinical cancer screening 3142 cases,including: carcinoma of the lungs screening 966 Person-time,breast cancer screening 608 Person-time,cancer of the liver screening 625 Person-time,upper digestive tract cancer screening 478 Person-time and colorectal cancer screening 465 Person-time,found there are Precancerous lesions 265 cases,8.43% in Percentage during the total screening number.17 cases of suspected cancer were found,accounting for 0.54% of the total number of clinical screening.Conclusion: "The city to carry out cancer early diagnosis and treatment Project” can improve the screening can improve the utilization rate of resources,improve the Precancerous lesions and cancer and suspected cancer detection rate,and improve the rate of early diagnosis of cancer,reduce the incidence and mortality of cancer.