Analysis of Opportunistic Screening Results for Upper Gastrointestinal Cancer in Hubei Province from 2022 to 2023
10.11735/j.issn.1004-0242.2025.04.A004
- VernacularTitle:2022-2023年湖北省上消化道癌机会性筛查结果分析
- Author:
Jiyu TUO
1
;
Shuang YAO
1
;
Yu QIN
1
;
Yafen XIA
1
;
Fandi MENG
1
;
Min ZHANG
1
Author Information
1. 华中科技大学同济医学院附属肿瘤医院/湖北省肿瘤医院,湖北武汉 430079
- Publication Type:Journal Article
- Keywords:
upper gastrointestinal cancer;
opportunistic screening;
biopsy rate;
positive detec-tion rate;
Hubei
- From:
China Cancer
2025;34(4):272-278
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To analyze the opportunistic screening results of upper gastrointestinal can-cer in Hubei Province from 2022 to 2023.[Methods]The data of upper gastrointestinal cancer opportunistic screening program in Hubei Province from January 1,2022 to December 31,2023 were summarized.The biopsy rate,positive lesion detection rate and early diagnosis rate were ana-lyzed.The differences in rates between/among different sexes,age groups and regions were com-pared by x2 test,trend x2 test.[Results]A total of 372 507 people were included in the oppor-tunistic screening of upper gastrointestinal cancer from 2022 to 2023.Among them,100 379 in-dividuals underwent biopsy histopathological examination,with a biopsy rate of 26.95％.A total of 4 678 positive cases(high-grade intraepithelial neoplasia,early-stage cancer and advanced can-cer)were detected in the opportunistic screening,with a positive lesion detection rate of 1.26％.The detection rates of positive lesion in the esophagus,cardia and stomach were 0.61％,0.07％and 0.58％,respectively.There were 721 cases of early upper gastrointestinal cancer(high-grade intraepithelial neoplasia,early-stage cancer),representing an early diagnosis rate of 15.41％.The early diagnosis rates for the esophagus,cardia and stomach were 14.53％,11.96％and 16.89％,respectively.[Conclusions]The implementation of opportunistic screening for upper gastrointesti-nal cancer is conducive to expanding the coverage of screening.It is necessary to strengthen stan-dardized and homogeneous training and complete high-quality endoscopic examination to improve the detection rate and early diagnosis rate of opportunistic screening program for upper gastroin-testinal cancer.
