培训课件-吴大保子宫颈癌流行病学及诊治新进展.pptVIP

宫颈癌 浸润前癌的存活率几乎为100% Preventing Cervical Cancer 避免高危因素的接触 定期规范的妇科检查 (what and who) Unequal Burden Sources: NIH Consensus Conference Janerich, Connecticut Sung, California Never or Rarely Screened Cytology test abnormal, patient lost to follow-up Cytology test abnormal, mismanaged medically Rapidly progressive cervical cancer Uncommon cancers difficult to detect by cytology test 5%-10% 10%-15% 5%-10% 9%-12% False negative cytology test 10%-15% 50%-60% Ways to reach women: Direct personal contact Community meetings Posters or pamphlets Newspaper advertisements or articles Radio or television messages 通过各种途径加强对宣传教育 教育管理者 教育医务工作者 教育民众 —— 做好筛查、治病于未发、让女性患者享受到真正的身心自由! Join the fight against cervical cancer 为了每一位女性 为了每一位母亲 为了每一个家庭 履行一个妇科医生的社会责任 谢 谢！ * Globocan 2000, IARC available at http://www-dep.iarc.fr/globocan/globocan.html * All women are at risk Many associate the risk of getting cervical cancer and breast cancer the same. Stereotype: older women, doesn’t run in my family, etc…. Age: Risk of getting cervical cancer goes up between the late teens and mid-thirties. After 40 cervical cancer doesn’t increase very much but the risk doesn’t get lower. Race: Some racial and ethnic groups have higher cervical cancer deaths. * Pre-cancerous Conditions: Cells on the surface of the cervix sometimes appear abnormal but not cancerous Scientists believe that some abnormal changes in cells on the cervix are the first step in a series of slow changes that may become cancerous with time. If all women had pelvic exams and pap test regularly, most pre-cancerous conditions would be detected and treated before cancer develops. And most invasive cancers could be prevented. Non-invasive Cervical Cancer: Most cervical cancers are detected at the in situ or non-invasive stage. Treatment at this stage is almost always curative and prevents progression to invasive cancer. Non-invasive cervical state of cancer is