实用肿瘤学杂志 ›› 2020, Vol. 34 ›› Issue (6): 544-548.doi: 10.11904/j.issn.1002-3070.2020.06.012

• 综述 • 上一篇    下一篇

湖南省口腔癌早诊早治项目设计概要

肖海帆1, 颜仕鹏1, 曹世钰1, 李娜1, 许可葵1, 邹艳花1, 邓红玉2, 杨雯娟3, 石朝晖1 综述, 廖先珍1 审校   

  1. 1.湖南省肿瘤医院(中南大学湘雅医学院附属肿瘤医院)湖南省肿瘤防治研究办公室(长沙 410006);
    2.湖南肿瘤医院(中南大学湘雅医学院附属肿瘤医院)检验科;
    3.湖南肿瘤医院(中南大学湘雅医学院附属肿瘤)肿瘤放射治疗转化医学湖南省重点实验室
  • 收稿日期:2020-03-17 修回日期:2020-04-24 出版日期:2020-12-28 发布日期:2020-12-23
  • 通讯作者: 廖先珍,E-mail:125844068@qq.com
  • 作者简介:肖海帆,女,(1987-),博士,主管医师,从事肿瘤防治的研究。
  • 基金资助:
    湖南省卫生健康委科研计划项目资助(编号:20201476);湖南省卫生健康委科研计划项目资助(编号:B2017100);湖南省卫生健康委科研计划项目资助(编号:20200957)

Summary for design of early diagnosis and treatment of oral cancer in Hunan province

XIAO Haifan1, YAN Shipeng1, CAO Shiyu1, LI Na1, XU Kekui1, ZOU Yanhua1, DENG Hongyu2, YANG Wenjuan3, SHI Zhaohui1, LIAO Xianzhen1   

  1. 1. Department of Cancer Prevention and Control,Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine,Central South University,Changsha 410006,China;
    2. The Clinical Laboratory,Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine,Central South University;
    3. Key Laboratory of Translational Medicine of Tumor Radiotherapy of Hunan Province,Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine,Central South University
  • Received:2020-03-17 Revised:2020-04-24 Online:2020-12-28 Published:2020-12-23

摘要: 口腔癌为湖南省的特色癌种,其男性发病率位居湖南省第八位,且近年发病率有上升趋势。鉴于此,湖南省于2019年正式开展口腔癌早诊早治项目,由湖南省卫生健康委疾控处牵头,湖南省肿瘤防治研究办公室和湖南省口腔医学会为技术管理单位,借助区县疾病预防控制中心网络向街道或居委会全面铺开实施。本项目以长沙市五辖区(芙蓉区、开福区、天心区、雨花区和岳麓区)、湘潭市两区(雨湖区和岳塘区)和岳阳市岳阳楼区为具体实施地点,以40~69岁的本地居民为筛查对象,首先对社区健康人群进行高危风险评估,评估为高危后接受临床筛查,临床筛查目标例数为10 000例。临床筛查主要以视诊结合触诊进行,对可疑病变部位取活检进行病理检查,并给予治疗建议和跟踪随访。湖南省对高发区县开展口腔癌早诊早治项目,通过项目影响力提高居民防控意识,干预危险因素,改善生活方式;通过临床筛查提高早期癌症检出率,对降低口腔癌死亡率具有重大意义。

关键词: 口腔癌, 早诊早治, 筛查, 湖南

Abstract: Oral cancer is a characteristic cancer species in Hunan Province.Its male incidence ranks eighth in Hunan Province,and the incidence has increased in recent years.In view of this,the project of early diagnosis and treatment of oral cancer in 2019 was officially started up in Hunan province,led by the Department of Disease Control and Prevention of Hunan Provincial Health Commission with technical management units such as the Hunan Cancer Prevention Research Office and the Hunan Provincial Stomatological Association by means of the local central of disease prevention and control network to fully spread to the streets or neighborhood committees for implementation.This project took the five districts of Changsha city(Furong district,Kaifu district,Tianxin district,Yuhua district and Yuelu district),two districts of Xiangtan city(Yuhu district and Yuetang district)and Yueyanglou district of Yueyang city as the specific implementation locations,with local residents aged 40~69 years old were screened.First,high-risk assessments were conducted for healthy people in the community.After being evaluated as high-risk individuals,they received clinical screening.The target number of clinical screening was 10,000 cases.Clinical screening is mainly carried out by visual inspection combined with palpation,biopsy of suspected lesions for pathological examination,treatment advice and follow-up.An early diagnosis and treatment project for oral cancer in high-incidence districts and counties to increase residents′ awareness of prevention and control is started up in Hunan province to interfere with risk factors,improve lifestyle through project influence,improve the early cancer detection rate through clinical screening,and reduce the mortality of oral cancer.

Key words: Oral cancer, Early diagnosis and treatment, Screening, Hunan

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