Cancer Screening in Low- and Middle-Income Countries.

Maria Elena Martinez, Kathleen M Schmeler, Martin Lajous, Lisa A Newman
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Abstract

The worldwide cancer burden is growing, and populations residing in low- and middle-income countries (LMICs) are experiencing a disproportionate extent of this growth. Breast, colorectal, and cervical cancers are among the top 10 most frequently diagnosed malignancies, and they also account for a substantial degree of cancer mortality internationally. Effective screening strategies are available for all three of these cancers. Individuals from LMICs face substantial cost and access barriers to early detection programs, and late stage at diagnosis continues to be a major cause for cancer mortality in these communities. This chapter will review the epidemiology of breast, colorectal, and cervical cancers, and will explore prospects for improving global control through novel approaches to screening in cost-constrained environments.

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中低收入国家的癌症筛查。
全球癌症负担日益加重,而居住在中低收入国家(LMICs)的人口正经历着不成比例的增长。乳腺癌、结肠直肠癌和宫颈癌是十大最常诊断出的恶性肿瘤之一,在国际癌症死亡率中也占了相当大的比例。这三种癌症都有有效的筛查策略。低收入和中等收入国家的人们在早期检测计划方面面临着巨大的成本和获取障碍,诊断晚期仍然是这些国家癌症死亡的主要原因。本章将回顾乳腺癌、结肠直肠癌和宫颈癌的流行病学,并探讨在成本有限的环境下通过新的筛查方法改善全球控制的前景。
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期刊介绍: The Ed Book is a National Library of Medicine–indexed collection of articles written by ASCO Annual Meeting faculty and invited leaders in oncology. Ed Book was launched in 1985 to highlight standards of care and inspire future therapeutic possibilities in oncology. Published annually, each volume highlights the most compelling research and developments across the multidisciplinary fields of oncology and serves as an enduring scholarly resource for all members of the cancer care team long after the Meeting concludes. These articles address issues in the following areas, among others: Immuno-oncology, Surgical, radiation, and medical oncology, Clinical informatics and quality of care, Global health, Survivorship.
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