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引用次数: 0
摘要
乳腺癌是一个全球关注的健康问题,对妇女的福祉有重大影响。过去几十年来,全世界乳腺癌的发病率和死亡率都发生了变化。此外,流行病学数据显示,全球范围内存在明显的地域和人口差异。一系列可改变和不可改变的风险因素已被证实与乳腺癌发病风险的增加有关。本综述将讨论遗传、荷尔蒙、行为、环境和乳腺相关风险因素。筛查在有效控制乳腺癌方面起着至关重要的作用。各种筛查方式,包括乳房 X 线照相术、超声波、磁共振成像(MRI)和体格检查,都有不同的应用,在实践中也会综合应用这些方式。目前的筛查建议基于年龄和风险等因素,重点强调尽量减少潜在的危害,以达到最佳的收益-危害比。本综述全面介绍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、减轻患者和医疗系统的负担至关重要。
Breast cancer: Epidemiology, risk factors and screening.
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.
期刊介绍:
Chinese Journal of Cancer Research (CJCR; Print ISSN: 1000-9604; Online ISSN:1993-0631) is published by AME Publishing Company in association with Chinese Anti-Cancer Association.It was launched in March 1995 as a quarterly publication and is now published bi-monthly since February 2013.
CJCR is published bi-monthly in English, and is an international journal devoted to the life sciences and medical sciences. It publishes peer-reviewed original articles of basic investigations and clinical observations, reviews and brief communications providing a forum for the recent experimental and clinical advances in cancer research. This journal is indexed in Science Citation Index Expanded (SCIE), PubMed/PubMed Central (PMC), Scopus, SciSearch, Chemistry Abstracts (CA), the Excerpta Medica/EMBASE, Chinainfo, CNKI, CSCI, etc.