Demchig Delgermaa, Mello-Thoms Claudia, Brennan Patrick C
Medical Image Optimization and Perception Group (MIOPeG), Faculty of Health Science, The University of Sydney, Sydney, NSW, Australia.
Breast Cancer (Dove Med Press). 2017 Jan 20;9:29-38. doi: 10.2147/BCTT.S125584. eCollection 2017.
Breast cancer is a leading cause of cancer-related death for women in both developed and developing countries. The incidence and mortality of breast cancer in Mongolia, while low compared with other counties, has been increasing on an annual basis. In addition, in Mongolia, approximately 90% of the patients are diagnosed at a late stage, resulting in high mortality, with the majority of individuals diagnosed with breast cancer dying within 5 years of diagnosis. Breast cancer screening plays an important role in reducing mortality in Western countries and has been adopted by a number of Asian countries; however, no such approach exists in Mongolia. In a country of limited resources, implementation of expensive health strategies such as screening requires effective allocations of resources and the identification of the most effective imaging methods. This requirement relies on recent accurate data; however, at this time, there is a paucity of information around breast cancer in Mongolia. Until data around features of the disease are available, effective strategies to diagnose breast cancer that recognize the economic climate in Mongolia cannot be implemented and the impact of breast cancer is likely to increase.
在发达国家和发展中国家，乳腺癌都是女性癌症相关死亡的主要原因。蒙古的乳腺癌发病率和死亡率虽然与其他国家相比很低，但一直在逐年上升。此外，在蒙古，约90%的患者在晚期才被诊断出来，导致死亡率很高，大多数被诊断为乳腺癌的人在确诊后5年内死亡。乳腺癌筛查在西方国家降低死亡率方面发挥着重要作用，并且已经被一些亚洲国家采用；然而，蒙古却没有这样的方法。在一个资源有限的国家，实施像筛查这样昂贵的健康策略需要有效地分配资源，并确定最有效的成像方法。这一要求依赖于近期的准确数据；然而，目前蒙古关于乳腺癌的信息匮乏。在获得有关该疾病特征的数据之前，无法实施认识到蒙古经济状况的有效的乳腺癌诊断策略，乳腺癌的影响可能会加剧。
