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Objective: To analyze and evaluate the results of endoscopic screening for upper digestive cancer in Danzhou city of Hainan, China. Methods: Totally 300 8 subjects aged from 40 to 69 years old were selected by cluster sampling method for screening of upper digestive tract cancer in Danzhou from 2015 to 2017. Results: In total, 13 cases (0.43%) of high grade intraepithelial neoplasia and cancer were detected. The detection rate of esophageal cancer, cardia cancer and gastric cancer was 0.07% (2 cases), 0.07% (2 cases) and 0.30% (9 cases), respectively. The diagnosis rate of early cancer was 92.31% (12 cases) and the treatment rate was 46.15% (6 cases). Conclusion: Endoscopic Screening is an effective way to detect precancerous lesions and early cancer. The detection rate in Danzhou is lower than the national average. Improving the professional and management ability of screening project team, mastering the incidence and mortality trend of upper digestive tract cancer, is key to the implementation and evaluation of the project of early diagnosis and treatment of upper digestive tract cancer.
ABSTRACT
BACKGROUND: The optimal endoscopic screening interval for early gastric cancer (EGC) detection still remains controversial. Thus, we performed this prospective study to clarify the optimal interval between endoscopic examinations for EGC detection. METHODS: A questionnaire survey for penultimate endoscopy and gastric cancer (GC) diagnosis interval was used; the findings were then analyzed. The patients were divided into two groups according to GC type and endoscopic examinations intervals. RESULTS: A total of 843 patients were enrolled. The endoscopic GC detection interval (P 2 years and without screening. Similar results were observed in those with < 3-year intervals. CONCLUSION: Triennial endoscopic screening might be as effective as biennial screening in increasing the detection rate of EGC and the risk of subsequent curable endoscopic resections.
Subject(s)
Humans , Diagnosis , Endoscopy , Mass Screening , Odds Ratio , Prospective Studies , Stomach NeoplasmsABSTRACT
The incidence rate of esophageal cancer has been decreasing since 1988 in Linxian and Cixian as the results of year-round preventive effort for several decades.But remarkable decreasing in incidence is confined to age group above the age of 60 year old only.For the age group from 40 through 60,the decreasing is slight;and for those under the age of 40 years old,no decrease can be perceived.This suggests that the primary risk of esophageal cancer still remains as strong in the high-risk areas,and the decreased incidence may be credited mainly to secondary preventive measures.Although early diagnosis is still the key to control esophageal cancer presently,the rate of early detection is very low due to the lack of efficient screening programs in the high-risk areas.Recently,Cancer Foundation of China initiated a series of endoscopic screening programs across the country aimed to improve early detection and treatment in the field.The objective of this article is to provide clues to help improving screening efficiency in the field.