Ohmura Mineo, Oda Mizue
Dept. of Gynecology, Tokyo Kenbikyoin Foundation, 4-8-32 Kudan-minami, Chiyoda-ku, Tokyo 102-8288, Japan.
Gan To Kagaku Ryoho. 2002 Nov;29(11):1907-16.
We express the mass screening data of uterine cervical cancer, endometrial cancer, and ovarian cancer in Japan. The increase in cervical cancer mass screening rate, correlate well with decreasing mortality for uterine cancer, but mortality is re-increasing now. It is concern to increase of uterine cervical dysplasia and cervical cancer of young women. Then, we need to start the screening for more young women. The detect ratio of uterine corpus cancer is increasing now. Then, we need to change the object, and introduce new screening method for example, trans vaginal echogram. Ovarian cancer screening method is not establishment, but mortality rate in patients with ovarian cancer will be increase in future. Trans vaginal echogram is the better method for the screening. On the economical reason, we have a tendency the cancer screenings are neglected. It is important to watch the policy of health carefully.
我们公布了日本子宫颈癌、子宫内膜癌和卵巢癌的大规模筛查数据。子宫颈癌大规模筛查率的上升与子宫癌死亡率的下降密切相关，但目前死亡率又在上升。年轻女性子宫颈发育异常和子宫颈癌的增加令人担忧。因此，我们需要对更多年轻女性开展筛查。子宫体癌的检出率目前正在上升。所以，我们需要改变筛查对象，并引入新的筛查方法，比如经阴道超声检查。卵巢癌的筛查方法尚未确立，但卵巢癌患者的死亡率未来将会上升。经阴道超声检查是更好的筛查方法。出于经济原因，我们有忽视癌症筛查的倾向。密切关注卫生政策很重要。
