沙特阿拉伯首个全国性公共乳腺癌筛查项目。
The first national public breast cancer screening program in Saudi Arabia.
作者信息
Abulkhair Omalkhair A, Al Tahan Fatina M, Young Susan E, Musaad Salma Ma, Jazieh Abdul-Rahman M
机构信息
King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
出版信息
Ann Saudi Med. 2010 Sep-Oct;30(5):350-7. doi: 10.4103/0256-4947.67078.
BACKGROUND AND OBJECTIVES
Despite its relatively low incidence in Saudi Arabia, breast cancer has been the most common cancer among Saudi females for the past 12 consecutive years. The objective of this study was to report the results of the first national public breast cancer screening program in Saudi Arabia.
METHODS
Women 40 years of age or older underwent breast cancer screening. Mammograms were scored using the Breast Imaging-Reporting and Data System (BI-RADS). Correlations between imaging findings, risk factors and pathological findings were analyzed.
RESULTS
Between September 2007 and April 2008, 1215 women were enrolled. The median age was 45 years, and median body mass index was 31.6 kg/m 2 . Sixteen cases of cancer were diagnosed. No cancer was diagnosed in 942 women with R1/R2 scores, and only 1 case of cancer was diagnosed in 228 women with R0/R3 scores. However, among 26 women with R4/R5 scores, 50% had malignant disease and 35% had benign lesions. No correlation was found between known risk factors and imaging score or cancer diagnosis.
CONCLUSIONS
Public acceptance of the breast cancer screening program was encouraging. Longitudinal follow-up will help in better determining the risk factors relevant to our patient population.
背景与目的
尽管乳腺癌在沙特阿拉伯的发病率相对较低，但在过去连续12年中一直是沙特女性中最常见的癌症。本研究的目的是报告沙特阿拉伯首个全国性公共乳腺癌筛查项目的结果。
方法
40岁及以上的女性接受乳腺癌筛查。乳房X光片使用乳腺影像报告和数据系统（BI-RADS）进行评分。分析影像学表现、风险因素与病理结果之间的相关性。
结果
2007年9月至2008年4月期间，共有1215名女性参与。中位年龄为45岁，中位体重指数为31.6kg/m²。确诊16例癌症。在942名R1/R2评分的女性中未诊断出癌症，在228名R0/R3评分的女性中仅诊断出1例癌症。然而，在26名R4/R5评分的女性中，50%患有恶性疾病，35%患有良性病变。未发现已知风险因素与影像学评分或癌症诊断之间存在相关性。
结论
乳腺癌筛查项目的公众接受度令人鼓舞。纵向随访将有助于更好地确定与我们患者群体相关的风险因素。
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