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Herault breast screening programme: results after 30 months of a mobile French schedule. 埃罗乳房筛查计划:30个月后的结果,移动法国时间表。
F. Stguret, J. Daurès, A. Guizard, H. Mathieu‐Daudé, J C Bonifacj, J. Cherifcheik, J L La marque
Breast screening in the Herault Department (France) has been carried out since July 1990. As with other French programmes, it is a population-based screen, whose main features are related to its organization in that: (a) it is performed by a specific unit (the 'Institut Montpelliérain d'Imagerie Medico-Biologique'); and (b) the group of women targeted is those aged 40-70 years. The two-view mammography is performed every 2 years in mobile units. This paper presents the results after 30 months: 26,026 participants were screened from a target population of 52,617 women, giving a participation rate of 49%. The recall rate and the biopsy rate observed were 7% and 1.5%, respectively. The predictive positive value was 8.4% for a positive test while it was 35% for the biopsy; the values increased with age. 137 cancers were observed giving a detection rate of 5.3%, of which 82% were in situ. Small (< or = to 10 mm) tumours represented 41.5%, and 71.5% of the cancers were node negative. The surgical treatment was conservative for 66% of them.
埃罗省(法国)自1990年7月开始进行乳房检查。与其他法国方案一样,这是一种以人口为基础的筛查,其主要特点与其组织有关:(a)由一个特定单位(“蒙彼利埃医学-生物影像研究所”)执行;(b)目标人群是40-70岁的女性。双视图乳房x光检查每两年在移动单位进行一次。本文介绍了30个月后的结果:从52,617名女性的目标人群中筛选了26,026名参与者,参与率为49%。召回率为7%,活检率为1.5%。阳性检测的预测阳性率为8.4%,活检的预测阳性率为35%;这些值随着年龄的增长而增加。观察到137例癌症,检出率为5.3%,其中82%为原位癌。小肿瘤(<或= 10mm)占41.5%,71.5%的肿瘤为淋巴结阴性。66%的患者手术治疗保守。
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引用次数: 11
Helicobacter pylori in patients with intestinal metaplasia and in controls: a serological and biopsy study in four UK centres. UK Sub-Group of the ECP-EURONUT-Intestinal Metaplasia Study Group. 幽门螺杆菌在肠化生患者和对照组:血清学和活检研究在四个英国中心。ecp - euronut -肠化生研究组英国亚组。
M. Filipe, D. Newell, B. Johnston, C. Caygill, P. I. Reed
The incidence of Helicobacter pylori was compared in high and low risk gastric cancer areas. Complete data were available on 116 age and sex matched sets of cases--patients with histologically proven intestinal metaplasia (IM)--and two control groups, one non-IM endoscoped controls (EC) and one non-endoscoped controls (NC) recruited from out-patient clinics. H. pylori status was determined by both serology and histology in individuals biopsied from three separate gastric sites. Our data show an increased incidence of H. pylori and intestinal metaplasia in areas at high risk for gastric cancer, good agreement on H. pylori status between histology and serology and a relationship between H. pylori status in individual biopsies and the degree of gastritis. With 116 matched sets of patients this is one of the largest series to date and supports the hypothesis that H. pylori infection may be involved in gastric carcinogenesis through chronic gastritis and intestinal metaplasia.
比较了胃癌高危区和低危区幽门螺杆菌的发病率。完整的数据来自116组年龄和性别匹配的病例-组织学证实的肠化生(IM)患者-和两个对照组,一个非IM内窥镜对照组(EC)和一个非内窥镜对照组(NC),从门诊诊所招募。幽门螺杆菌的状态是由血清学和组织学在三个不同的胃部位活检的个体确定的。我们的数据显示,胃癌高危区幽门螺杆菌和肠化生的发病率增加,组织学和血清学对幽门螺杆菌的状态有很好的一致性,个人活检中幽门螺杆菌的状态与胃炎的程度有关系。有116组匹配的患者,这是迄今为止最大的系列之一,支持了幽门螺杆菌感染可能通过慢性胃炎和肠化生参与胃癌形成的假设。
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引用次数: 8
Breast self-examination: attitudes and practices among young women in Europe. 乳房自我检查:欧洲年轻女性的态度和做法。
J. Wardle, A. Steptoe, H. Smith, E. Groll-knapp, M. Koller, D. Smith, A. Brodziak
Breast self examination (BSE) is recommended for the early detection of breast cancer in the European Code against Cancer. Evidence from North America suggests that there is reasonable public awareness of its importance, but compliance with regular BSE is reported by only a minority of young women. Attitudes to and practice of BSE has rarely been studied outside North America. In the present study, attitudes to BSE were evaluated by questionnaire in a sample of 16,486 students aged 17-30 from 20 European countries. Frequency of BSE practice was reported by the 9,181 women in the sample. Information on public recommendations concerning BSE was obtained from cancer organizations in each country. The data were collected as part of the European Health Behaviour Survey, an international study on health beliefs and health behaviour. The results showed that BSE was recommended in 16 countries and 'breast awareness' in two, while two countries did not recommend self-examination. 54% of women reported as never having practiced BSE. Regular practice (monthly) was reported by only 8% of the sample, with another 36% reporting occasional BSE. Significant differences emerged between centres in different countries ranging from 6% to 15% reporting regular BSE. Attitude towards BSE was a significant predictor of BSE practice within each centre and across all centres combined. Attitudes towards BSE were significantly less positive in the two centres from countries without BSE recommendations than in the others, but levels of practice were similar.(ABSTRACT TRUNCATED AT 250 WORDS)
乳房自我检查(BSE)被推荐用于早期发现乳腺癌的欧洲癌症法典。来自北美的证据表明,公众对它的重要性有一定的认识,但只有少数年轻女性报告说定期接受疯牛病治疗。对疯牛病的态度和实践很少在北美以外进行研究。本研究以来自20个欧洲国家的16,486名年龄在17-30岁的学生为样本,采用问卷调查的方式评估他们对疯牛病的态度。样本中的9181名妇女报告了患疯牛病的频率。从每个国家的癌症组织获得了有关疯牛病的公众建议的信息。这些数据是作为欧洲健康行为调查的一部分收集的,这是一项关于健康信念和健康行为的国际研究。结果显示,16个国家推荐疯牛病,两个国家推荐“乳房意识”,而两个国家不推荐自我检查。54%的女性报告从未患过疯牛病。只有8%的样本报告有规律的治疗(每月一次),另外36%的样本报告偶尔有疯牛病。不同国家的中心之间出现了显著差异,报告常规疯牛病的比例从6%到15%不等。对疯牛病的态度是每个中心和所有中心合并的疯牛病实践的重要预测因子。在这两个中心中,来自没有疯牛病建议的国家对疯牛病的态度明显不如其他国家积极,但是实践水平是相似的。(摘要删节250字)
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引用次数: 52
Environmental genotoxicity and cancer risk in humans: a combined evaluation correlating the results of the Tradescantia micronucleus assay in the field and human biomarker assessments in serum. I. The TRAD-MCN assay. 环境遗传毒性和人类癌症风险:将现场微核测定结果与血清中人类生物标志物评估结果相关联的综合评估1 . trade - mcn试验。
A. Sadowska, E. Pluygers, M. Narkiewicz, A. Pawełczak, B. Lata
It is well documented that environmental pollution from industrial activity, sewage farms, hazardous waste sites, incinerators, etc, contributes to the overall cancer risk and that this contribution can be considerable under certain circumstances. It is important, therefore, to identify the level of genotoxic activity in the environment and to relate it to biomarkers of cancer risk in humans. After reviewing a range of cytogenetic assays, we have selected the Tradescantia micronucleus assay (TRAD-MCN) developed by Ma et al to be used in indoor and field evaluations. The meiotic pollen mother cells of T clone 4430 are particularly sensitive to chemical pollutants; the buds are exposed for 6-8 h. We describe assays made down wind from a coal-fired power station and from the vicinity of two waste sites. Statistically significant results were obtained at 200 m and 600 m down wind from the power station; higher levels of micronucleus frequencies (MN) were found in foggy rather than dry conditions. Similarly, in the vicinity of two waste sites the MN frequencies were significantly increased in both dry and foggy conditions up to 1.5 km down wind; this was despite previous efforts to rehabilitate the sites. The TRAD-MCN assay is sensitive, reproducible, easy to perform, well standardized, inexpensive and undemanding in equipment. We propose that it be the primary test for genotoxicity evaluation and mapping followed, in suspicious areas, by human biomarker assays.
有充分的证据表明,工业活动、污水场、危险废物场、焚化炉等造成的环境污染会增加总体的癌症风险,而且在某些情况下,这种影响可能相当大。因此,确定环境中的基因毒性活性水平并将其与人类癌症风险的生物标志物联系起来是很重要的。在审查了一系列细胞遗传学检测方法后,我们选择了由Ma等人开发的Tradescantia微核检测(trade - mcn)用于室内和现场评估。T无性系4430减数分裂花粉母细胞对化学污染物特别敏感;芽暴露6-8小时。我们描述了从燃煤发电站和两个垃圾场附近顺风进行的试验。在离电站200 m和600 m的顺风处,结果具有统计学意义;微核频率(MN)水平在多雾而不是干燥条件下被发现。同样,在两个垃圾场附近,在干燥和多雾的情况下,MN频率在风向下1.5公里处显著增加;尽管此前曾努力修复这些遗址,但这一情况仍然存在。trade - mcn检测灵敏度高,重复性好,易于执行,标准化程度高,价格低廉,对设备要求低。我们建议将其作为遗传毒性评估和制图的主要测试,然后在可疑区域进行人类生物标志物测定。
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引用次数: 11
Tamoxifen in premalignant and pre-invasive breast cancer. 他莫昔芬在癌前和浸润性乳腺癌中的作用。
P. Neven
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引用次数: 0
The MCF10 family of spontaneously immortalized human breast epithelial cell lines: models of neoplastic progression. 自发永生化人乳腺上皮细胞系MCF10家族:肿瘤进展模型
R. Pauley, H. Soule, L. Tait, F. Miller, S. Wolman, P. Dawson, G. Heppner
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引用次数: 56
Development pattern of human breast and susceptibility to carcinogenesis. 人类乳房发育模式与癌变易感性。
J. Russo, I. Russo
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引用次数: 56
Molecular analyses of in situ breast cancer. 原位乳腺癌的分子分析。
M. Stratton, N. Collins, S. Lakhani, J. Sloane
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引用次数: 0
Chemoprevention of breast cancer. 乳腺癌的化学预防。
J. Bonté
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引用次数: 1
The involvement of genetic factors in susceptibility to breast cancer. 遗传因素对乳腺癌易感性的影响。
D. Bishop
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引用次数: 3
期刊
European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation
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