Beysebayev Eldar, Tulebayev Kazbek, Meymanalyev Tylek
Ph.D. Program, Kazakh Medical University, named after S.D Asfendiyarov, Almaty, Kazakhstan E-mail :
Asian Pac J Cancer Prev. 2015;16(1):31-4. doi: 10.7314/apjcp.2015.16.1.31.
While mammography has been used for diagnosis of breast cancer in Kazakhstan for a long period, published data are very limited. Recently stress has been placed on increasing the accuracy by double reading of mammograms. Here we provide an overview of breast cancer screening in the different regions of Kazakhstan with data on the stages of cancers detected. A total 459,816 women aged 50, 52, 54, 56, 58 and 60 years were screened in 2012 and 379,903 in the first 9 months of 2013. Clear differences in levels of detection were noted between urban and rural residents, the latter demonstrating lower rates for both screening and cancer detection. Women aged 50 were more likely to undergo screening than their counterparts aged 60. While there were no clear relationships evident between screening rates and stage or numbers of breast cancers observed, this might be due to a number of complicating factors like geographical variation in risk factors as well as ethnicity. Future analyses should focus on the efficacy of mammography in Kazakhstan to reduce mortality.
虽然乳腺钼靶摄影术在哈萨克斯坦长期用于乳腺癌诊断，但公开数据非常有限。最近，人们强调通过对乳腺钼靶照片进行双人读片来提高准确性。在此，我们概述哈萨克斯坦不同地区的乳腺癌筛查情况，并给出所检测到的癌症分期数据。2012年，共有459,816名年龄在50、52、54、56、58和60岁的女性接受了筛查，2013年前9个月有379,903名女性接受了筛查。城乡居民的检测水平存在明显差异，农村居民的筛查率和癌症检出率均较低。50岁的女性比60岁的女性更有可能接受筛查。虽然筛查率与所观察到的乳腺癌分期或数量之间没有明显的关系，但这可能是由于一些复杂因素造成的，如风险因素的地理差异以及种族因素。未来的分析应侧重于哈萨克斯坦乳腺钼靶摄影术在降低死亡率方面的效果。
