临朐县上消化道癌早诊早治项目工作十年进展 Review on Mass Screening and GC Early Detection in Linqu, Shandong (2008-2016)

2008~2017年临朐县对当地农村居民进行了上消化道癌(胃癌、食管癌)早诊早治筛查，十年来，总计筛查22,725人，发现胃癌、食管癌323例，其中早癌271例(83.9%)。2012年以后，注重人群选择、采用新的胃镜精查技术、加强内镜、病理专业技术人员的培训，使内窥镜诊断技术及病理诊断技术得到了明显提升，检出率从0.66% (0.46~1.11)逐步提高到2.17% (1.26~2.17)，最高检出率达2.17%，明显增多上消化道癌病人的发现。选择合适人群、加强项目管理、医护人员培训和内镜、病理检查技术的提高是提升上消化道癌早诊早治项目水平的关键，可使上消化道癌高发地区广大居民受益。 Objectives: To summarizes the newest progression of mass screening and gastric cancer (GC) early detection in a high-risk population in 2008-2017. Methods: Since 2008, a project of mass screening and GC early detection was conducted in Linqu. After 2012, an endoscopic examination technique was used, which was more detailed than traditional examination, with additional NBI. The time for each endoscopic examination was controlled between 20 - 30 mins and at least 48 images were saved for further comprehensive diagnosis. Results: 323 cases of GC patients were diagnosed among 22,725 subjects in 2008-2017, in which, 271 of early cancers (83.9%). The positive rate of GC detection was increased from 0.66% to 2.17% after 2012. Almost of GC patients were received the medical treatment and alive with a high quality. Conclusions: A project of mass screening and GC early detection has been carried out very well and effectively in Linqu.