Primary Screening for Breast Diseases among 17618 Women in Wufeng Area, a Region with High Incidence of Cervical Cancer in China

• Published in: Journal of Huazhong University of Science and Technology. Medical sciences Vol. 32; no. 2; pp. 252 - 256
• Main Author: 张庆华 刘眈 黄传英 胡婷 沈健 胡美玲 杨茹 陈枝岚 来主会 刘桂玲 梅业冬 向群英 李雄 黄科程 王少帅 潘秀玉 严玉婷 李夜 陈茜 奚玲 邓东锐 汪辉 王世宣 卢运萍 马丁 李双
• Format: Journal Article
• Language: English
• Published: Heidelberg Huazhong University of Science and Technology 01-04-2012; Department of Obstetrics and Gynecology,Wuhan Central Hospital,Wuhan 430014,China%Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China%Department of Maternity and Child Health Care Hospital,Tujia Nationality Autonomous County,Wufeng 443400,China; Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
• Subjects: Adolescent; Adult; Age Distribution; Aged; Aged, 80 and over; breast; Breast Diseases - diagnosis; Breast Diseases - epidemiology; cancer; cervical; China - epidemiology; Comorbidity; diseases; Female; high-incidence; Humans; Incidence; Mass Screening - statistics & numerical data; Medicine; Medicine & Public Health; Middle Aged; region; Risk Factors; screening; Uterine Cervical Neoplasms - diagnosis; Uterine Cervical Neoplasms - epidemiology; China; high-incidence region; breast diseases; screening; cervical cancer
• ISSN: 1672-0733; 1993-1352
• DOI: 10.1007/s11596-012-0045-3

In this study, the current status for breast diseases in a region with high-incidence of cervical cancer were epidemiologically investigated. From March to August, 2009, 17618 women, from Wufeng area of Hubei province, China, were recruited to screen breast diseases by using breast infrared diagnostic apparatus. Other diagnostic methods, such as B-mode ultrasound, X-ray mam-mography, needle biopsy and pathological examination were, if necessary, used to further confirm the diagnosis. The screening showed that 5990 of 17618 cases (34.00%) had breast diseases, 5843 (33.16%) had mammary gland hyperplasia, 48 (0.27%) had breast fibroadenoma, 11 (0.06%) had breast carcinoma, and 88 (0.50%) had other breast diseases. The peak morbidity of breast cancer was found in the women aged 50-60 ages. The morbidity of breast cancer was significantly increased in women elder than or equal to 50 years old (n=8, 0.157%) in comparison with that in the subjects younger than 50 years old (n=3, 0.024%) (u=2.327, P0.05). It was shown that the occurrence of breast diseases was concentrated in women aged 20-40 years, while the total morbidity reached its peak at the age of 30 years and then decreased sharply after age of 40. Compared with the patients elder than or equal to 40 years old (n=3289, 27.46%), the morbidity rate of breast diseases was sig-nificantly increased in women less than 40 years old (2648 cases, 47.18%; P0.001). However, there was no significant difference in the morbidity of breast diseases between the age group of 20-29 years and that of 30-39 years (P=0.453), and both of them were high. There was no significant asso-ciation between the morbidity of breast diseases and cervical cancer. Since the morbidity of breast diseases was higher among young women, more attention should be paid to the screening of breast diseases among young women for early diagnosis.