“乳腺癌年轻化”是误读 “Breast cancer is the young”Is misreading

因为年轻人就诊率提高，拉低了统计数据中的乳腺癌发病年龄 For as a young man JiuZhenLv improve，Down the statistical data of the age of onset breast cancer

专家建议40岁以上女性每年应接受一次钼靶检查 Expert advice for women over 40 years old shall each year to accept a mammography inspection

　　“乳腺癌的发病逐渐低龄化，‘白骨精’成为了高危人群？”在昨天召开的全国第三届乳腺癌论坛(南京)暨全国乳腺癌规范化综合诊治学习班上，扬子名医团医学顾问、江苏省肿瘤医院院长、著名乳腺癌专家唐金海教授发布了乳腺癌研究的最新进展：虽然近年来乳腺癌发病率持续升高，但是乳腺癌的死亡率已经开始呈现下降趋势。在这次会议上，一直以来遭遇讹传的“乳腺癌年轻化”的说法也得到了“拨乱反正”。专家表示，年轻人就诊率的提高在一定程度上导致了检查数据中乳腺癌发病年龄的降低。将这种说法笼统概括为“乳腺癌年轻化”并不准确。

“Breast cancer DiLingHua gradually，‘Bones jing’Become the high-risk groups？”In the third session held yesterday national breast cancer BBS(nanjing)And the national breast cancer diagnosis and treatment in the class comprehensive standardized study，Yangzi medical group medical adviser、Jiangsu province tumor hospital director、Famous TangJinHai breast cancer expert professor released the latest progress in the study of breast cancer：Although in recent years the breast cancer incidence of a disease continue to rise，But the breast cancer death rates have started has declined。In this conference，Since EChuan encounter“Breast cancer is the young”The statement also got“Bring order out of chaos”。Experts say，The young man JiuZhenLv improve resulted in a degree of the check data breast cancer the reduction of age。Will this statement general summarized as“Breast cancer is the young”Is not accurate。

专家说法 Experts said

笼统说“乳腺癌年轻化”并不准确 General said“Breast cancer is the young”Is not accurate

乳腺癌发病率高峰是40岁到50岁和65岁到70岁 Breast cancer incidence of a disease peak is 40 to 50 years old and 65 years to 70 years old

　　“80后‘白骨精’成为乳腺癌高危人群”的说法到底准确不准确？在此次论坛上，权威专家给出了解答。军事医学科学院附属307医院乳癌科主任江泽飞教授表示，这种说法其实并不准确。“因为医疗技术的提高，年轻人的就诊率提高，导致检查数据中乳腺癌发病年龄的降低。将这种说法笼统概括为‘乳腺癌年轻化’并不科学。”但江泽飞教授提醒，虽然“年轻化”的说法是讹传，但并不意味着80后的年轻“白骨精”们警报解除。“乳腺癌的发病率有两个高峰期，分别是40岁到50岁和65岁到70岁，如果青春期的年轻人不注意生活方式，过多地喝酒、熬夜和抽烟，将会增加未来的乳腺癌发病风险。

“After 80‘Bones jing’Be at higher risk of breast cancer”That's exactly accurate is not accurate？In this BBS，Experts give the answer。Military academy of medical sciences, affiliated hospital of director of division of 307 breast cancer JiangZeFei professor said，This statement actually not accurate。“For the improvement of medical technology，The young man JiuZhenLv improve，Lead to check the data in the age of the lower breast cancer。Will this statement general summarized as‘Breast cancer is the young’Is not science。”But JiangZeFei professor reminded，although“younger”Is that EChuan，But this does not mean that after 80 the young“Bones jing”Alarm remove the。“The incidence of breast cancer have two peak periods，Were 40 to 50 years old and 65 years to 70 years old，If the young people don't pay attention to adolescent life style，Drinking too much、Stay up late and smoking，Will increase the risk of breast cancer in the future。

　　对于江泽飞的观点，与会专家，中国抗肿瘤协会主任委员、复旦大学附属肿瘤医院邵志敏也表示认同，“乳腺癌依然是一种老年病，发病趋势和西方国家相近，年纪越大，患乳腺癌几率越大。”

Appeared in the view of ze fly，The experts，China antitumor association the chairman of the committee、Fudan university hospital affiliated tumor ShaoZhiMin also agree，“Breast cancer is still a gien，Prevalence trends and western countries close，The older，The greater the chance to breast cancer。”

　　同时江泽飞提醒，爱化妆的年轻女性要特别注意，部分化妆品可能含有类激素样或相关物质，雌激素对于乳腺疾病的诱发有着很大关联，长期使用也易诱发肿瘤。要防治乳腺癌，就必须控制雌激素的摄入水平。

At the same time JiangZeFei remind，Love make up of young women must pay special attention，Part of the cosmetics may contain class hormone kind or related material，Estrogen for mammary gland disease cause has a large connection，Use for a long time also easy to induce tumor。To breast cancer prevention and control，He would have to control the intake of estrogen levels。

技术突破 Technological breakthrough

“三维立体定位”可检测到绿豆大小肿瘤 “Three dimensional position”May examine the green beans tumor size

　　扬子名医团医学顾问唐金海教授告诉记者，乳腺癌的早期诊断和早期治疗十分重要。52岁的女病人张兰(化名)就是省肿瘤医院最新“三维立体定位”检测的最大受益者。在接受体检时，虽然外科触诊没有发现异常，但X线检查发现张兰的右乳有微量钙化灶。寻遍名医后，多家医院的医生都认为张兰的问题不大，并不需要急着进行手术。不放心的张兰来到了省肿瘤医院乳腺外科，唐金海教授和该院影像学专家进行综合会诊后，认为有可能是乳腺癌，应该手术。

Yangzi medical group TangJinHai medical adviser professor told reporters，Breast cancer early diagnosis and early treatment is important。52 years old female patient ZhangLan(aliases)The province is the latest tumor hospital“Three dimensional position”The biggest beneficiaries of detection。In the subject to a medical，Although surgical touch found no abnormalities，But X-ray found ZhangLan right breast have trace calcification。Found times after medical，Many hospitals doctors think ZhangLan problem is not big，Does not need to hurry to perform operations。Don't trust of ZhangLan came to the province tumor hospital breast surgery，TangJinHai professors and the imaging experts after comprehensive consultation，Think may be breast cancer，Should surgery。

　　本月16日，张兰在医院接受了唐金海教授的手术治疗。因为肿瘤只有绿豆大小，所以在术前，专门对病灶进行实时三维立体定位，然后再进行手术，术中发现病灶仅相当于一颗小绿豆般大。经过病理检测，证实为浸润性导管癌。“肿瘤细胞从1个细胞长到手能摸到的1cm左右，最快需要6年，但肿瘤从1cm长到2cm就快得多了，很可能肿瘤就已经到了中期。”唐金海解释道。

This month 16 days，ZhangLan in the hospital for the TangJinHai professor surgery。Because the tumor size only green beans，So in the preoperative，Special lesions of real-time three-dimensional localization，And then the operation，Intraoperative found only a small lesions is equivalent to a green beans。After pathology testing，Confirmed for infiltrating ductal carcinoma。“The tumor cells from one cell to hand can feel the long to 1 cm or so，Fastest need six years，But the tumor from 1 cm long to 2 cm is much faster，Probably it has come to the middle tumor。”TangJinHai explained。

尽早进行Her2基因检测可降死亡风险 As early as the genetic testing for Her2 can fall the risk of death

　　在此次以“关注乳腺癌最新研究进展、规范乳腺癌的综合诊治”为主题的论坛上，唐金海教授指出，虽然近年来乳腺癌发病率持续升高，但是乳腺癌的死亡率已开始出现下降趋势，这主要归功于新理论新技术的应用、早期诊断、早期治疗、规范化及个体化治疗的开展。省肿瘤医院在全国率先提出了肿瘤患者治疗的“系统性设计诊治方案，个体化实施具体治疗”的临床诊治原则，取得了很好的疗效。与之匹配的基础研究，特别是指导个体化治疗的药物基因组学等基础研究取得一定进展。2010年，《乳腺癌规范化综合诊治基础及临床应用研究》获得江苏省科学技术奖一等奖。

In this with“The latest research progress on breast cancer、Regulate the comprehensive treatment of breast cancer”As the theme of the BBS，TangJinHai professor said，Although in recent years the breast cancer incidence of a disease continue to rise，But the breast cancer death rate has began to appear to decline，This new theory is mainly attributed to the application of new technology、Early diagnosis、Early treatment、Standardization and the development of individual therapy。Province tumor hospital in the national first put forward the treatment of patients with cancer“The systematic design make a diagnosis and give treatment plan，Individual implementation specific treatment”Clinical diagnosis and treatment principle，Have a good curative effect。Matching basic research，Especially the guidance of individual therapy drug genomics research made some progress。2010 years，《Breast cancer diagnosis and treatment and comprehensive standardized based clinical application research》Get the first prize in jiangsu province awards for science。

　　除了手术以外，乳腺癌的治疗是否有“特效”的药物呢？唐金海教授指出，赫塞汀对Her2 基因过表达者较为有效。相对于其他乳腺癌患者，这种类型的乳腺癌更容易出现复发和转移，平均生存期较短，且对一些常规治疗药物敏感度低。目前国际公认的观点，对Her2 基因过表达的早期乳腺癌患者进行为期1年的针对性治疗可以降低1/3的死亡风险及近1/2的复发和转移风险。因此，尽早进行Her2基因检测，针对性地应用Her2的分子靶向治疗具有一定的临床意义。

In addition to other than surgery，Whether the treatment of breast cancer“Special effects”Drugs?？TangJinHai professor said，Hector plug to Her2 gene expression statins have the relatively effective。Relative to other breast cancer patients，This type of breast cancer more likely to relapse and metastasis，The mean survival period is shorter，And for some routine treatment drug sensitivity low。The international recognized point of view，Gene expression to Her2 early breast cancer patients have a 1 year of targeted therapy can reduce the risk of death and nearly a third of the half of the relapse and metastasis risk。so，For Her2 genetic testing as soon as possible，The specific application Her2 molecular target therapy has certain clinical significance。

建议 suggest

40岁以上女性每年接受一次钼靶检查 More than 40 women receive each year a mammography inspection

　　在此次论坛上，中国抗癌协会乳腺癌专业委员会名誉主任委员沈镇宙教授指出，现代人摄入的脂肪量过高，是直接导致乳腺癌的原因之一。他建议40岁以上女性每年应接受一次乳腺钼靶检查。因为在上海，被发现的乳腺癌患者中有75%甚至更多的已是二三期患者，而乳腺钼靶检查可以改变这一状况。钼靶检查属低剂量乳腺X光拍摄技术，它利用软X光线对乳腺进行摄影检查，可以成功“侦察”到隐匿在乳腺内的微小病灶及钙化，适用于妇女乳腺癌的筛查。(通讯员 盛国林 胥林花 实习生 张琪 记者 杨甜子)

In this BBS，Chinese cancer society breast cancer professional committee of the honorary director of the professor points out that cosmic sink，The amount of fat intake of modern people too high，Breast cancer is one of the reasons directly。He suggested that women over 40 years old shall each year to accept a breast mammography inspection。Because in Shanghai，The breast cancer was found 75% of patients with even more is already two phase 3 patients，And mammary gland mammography screening can change that situation。Low doses of molybdenum target check mammary gland X-ray photography technology，It using soft X rays to mammary gland photography inspection，Can be successful“reconnaissance”To hide in the breast lesions in the tiny and calcification，Apply to women's breast cancer screening。(ChengGuoLin correspondent XuLin spend intern reporter zhang qi Yang sweet son)