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缩小中低收入国家与高收入国家在乳腺癌和宫颈癌女性患者方面差距的干预措施。

Interventions to close the divide for women with breast and cervical cancer between low-income and middle-income countries and high-income countries.

机构信息

Department of Obstetrics and Gynaecology, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.

Cancer Epidemiology Research Programme, Catalan Institute of Oncology, IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.

出版信息

Lancet. 2017 Feb 25;389(10071):861-870. doi: 10.1016/S0140-6736(16)31795-0. Epub 2016 Nov 1.

Abstract

Breast and cervical cancers are the commonest cancers diagnosed in women living in low-income and middle-income countries (LMICs), where opportunities for prevention, early detection, or both, are few. Yet several cost-effective interventions could be used to reduce the burden of these two cancers in resource-limited environments. Population- wide vaccination against human papillomavirus (HPV) linked to cervical screening, at least once, for adult women has the potential to reduce the incidence of cervical cancer substantially. Strategies such as visual inspection with acetic acid and testing for oncogenic HPV types could make prevention of cervical cancer programmatically feasible. These two cancers need not be viewed as inevitably fatal, and can be cured, particularly if detected and treated at an early stage. Investing in the health of girls and women is an investment in the development of nations and their futures. Here we explore ways to lessen the divide between LMICs and high-income countries for breast and cervical cancers.

摘要

在中低收入国家(LMICs),乳腺癌和宫颈癌是女性最常见的癌症,这些国家预防和早期发现癌症的机会较少。然而,有一些具有成本效益的干预措施可以用于减少资源有限环境中这两种癌症的负担。针对与宫颈癌相关的人乳头瘤病毒(HPV)的人群疫苗接种,以及对成年女性进行至少一次宫颈癌筛查,有可能显著降低宫颈癌的发病率。醋酸视觉检查和致癌 HPV 类型检测等策略可使宫颈癌的预防在方案上变得可行。这两种癌症不必被视为不可避免的致命疾病,可以治愈,特别是如果在早期发现和治疗。投资于女孩和妇女的健康是对国家及其未来发展的投资。在这里,我们探讨了缩小中低收入国家与高收入国家在乳腺癌和宫颈癌方面差距的方法。

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