宋国慧, 孟凡书, 白文龙, 靳国梁, 李东方. 磁县食管癌高发区高危人群食管癌前状态及病变分析[J]. 中国肿瘤临床, 2014, 41(19): 1259-1263. DOI: 10.3969/j.issn.1000-8179.20140853
引用本文: 宋国慧, 孟凡书, 白文龙, 靳国梁, 李东方. 磁县食管癌高发区高危人群食管癌前状态及病变分析[J]. 中国肿瘤临床, 2014, 41(19): 1259-1263. DOI: 10.3969/j.issn.1000-8179.20140853
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SONG Guohui, MENG Fanshu, BAI Wenlong, JIN Guoliang, LI Dongfang. Analysis of precancerous conditions and lesions of high-risk population in the high-incidence area of esophageal cancer in Ci County[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(19): 1259-1263. DOI: 10.3969/j.issn.1000-8179.20140853
Citation: SONG Guohui, MENG Fanshu, BAI Wenlong, JIN Guoliang, LI Dongfang. Analysis of precancerous conditions and lesions of high-risk population in the high-incidence area of esophageal cancer in Ci County[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(19): 1259-1263. DOI: 10.3969/j.issn.1000-8179.20140853
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磁县食管癌高发区高危人群食管癌前状态及病变分析

Analysis of precancerous conditions and lesions of high-risk population in the high-incidence area of esophageal cancer in Ci County

    摘要
  • 摘要:
      目的  了解磁县食管癌高发区居民食管癌前状态及病变的分布情况，为该病的病因及二级预防提供依据。
      方法  收集磁县2005年1月至2009年12月完成的40~69岁人群的食管癌早诊早治内镜筛查资料，筛查采用内镜碘染色指示性活检，并对符合对象按性别、年龄组统计食管癌癌前状态及病变的检出率。
      结果  纳入分析队列筛查对象11 423例，食管活检率66.90%。食管鳞状上皮轻度、中度、重度异型增生检出率分别为11.84%、2.66%、1.04%，原位癌检出率为0.40%，鳞癌可能有浸润的患者检出率为0.04%、黏膜内鳞状细胞癌为0.37%，浸润性鳞癌为0.17%。平均重度异型增生以上及癌的检出率为2.01%。
      结论  磁县食管癌高发区40~69岁人群存在大量无症状癌前病变及癌症患者，年龄和性别与检出率关系密切。

     

    Abstract:
      Objective   To investigate the distribution of precancerous conditions and lesions of high-risk population in the high-incidence area of esophageal cancer in Ci County, Hebei Province.
      Methods   Esophageal cancer was detected early in 40 to 69 year old patients in Ci Xian through endoscopic screening data and endoscopic screening using iodine staining and indicative biopsy. The patients were classified according to gender, age group, statistical esophageal precancerous condition, and lesion detection rate.
      Results   The analysis included 11 423 cases by screening queue, and the esophageal biopsy rate was 66.90%. The detection rates of squamous epithelium with mild, moderate, and severe dysplasia were 11.84%, 2.66%, and 1.04%, respectively. DCIS detection rate was 0.40% in patients with squamous cell carcinoma. The detection rate of the patients had been infiltrated by the squamous cell carcinoma was 0.04%.The rate of the squamous cell carcinoma within the mucosa was 0.37%.The rate of the infiltration squamous cell carcinoma was 0.17%. The detection rate of the hyperplasia above average severe dysplasia and cancer was 2.01%.
      Conclusion   High incidence of esophageal precancerous lesions was found in the Ci County aged 40 to 69. A large number of asymptomatic patients with cancer were detected. Age and sex are closely related to detection rate.

     

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