3分pk10-(中国)360百科

China Focus: China to promote standardized overall treatment for breast cancer

Source: Xinhua| 2019-03-30 20:55:22|Editor: zh
Video PlayerClose

BEIJING, March 30 (Xinhua) -- China is moving to promote a package of breast cancer prevention and treatment standards across the country, hoping to further prolong patients' survival time and narrow the diagnosis and treatment gap between urban and rural areas.

A series of guidelines covering breast cancer screening, early diagnosis and treatment and rational drug use to follow-up treatment and management of concomitant diseases were released Saturday at an ongoing cancer and health conference jointly held by the National Cancer Center (NCC), Cancer Foundation of China, Beijing Breast Disease Society and other related institutions.

Data released by the NCC in March 2018 showed that the mortality rate of breast cancer in China accounted for 16.5 percent of all cancers in females. As breast cancer continues to lay claim to top incidence rates both at home and abroad, its cure rate has been improving steadily in China, with the five-year survival rate reaching 83.2 percent between 2010 and 2014, up by 7.3 percent since 2000.

As survival time has been significantly prolonged, more patients have entered a chronic disease period, according to the guidelines for breast cancer follow-up and overall management of concomitant diseases, the first situation of its kind in China, by the NCC.

Common concomitant diseases of breast cancer include cardiovascular diseases, abnormal bone metabolism and depression. "Among elder patients, cardiovascular diseases have caused even more deaths than cancer itself," said Ma Fei, executive chairman of the conference and expert from the NCC.

Under the dual effects of ovarian dysfunction and drugs, postmenopausal patients suffer a distinct drop in estrogen levels, which often results in an abnormal lipid amount in the blood and increases the risk of cardiovascular diseases, Ma explained.

In addition, a large number of patients will continue to receive endocrine therapy for five to 10 years after cancer treatment, which is often accompanied by abnormal bone metabolism, osteoporosis and even fractures.

The guidelines clearly require doctors, through interdisciplinary collaborations, to take into consideration a patient's blood lipid level and bone density before giving endocrine therapy. It also suggests that doctors intervene to help patients quit smoking and drinking alcohol as well as avoid tumbles and serious body impacts according to the evaluation of their overall health conditions.

Xu Binghe, a professor at the NCC who has been focusing on breast cancer treatment for more than three decades, noted that the guidelines, by standardizing the follow-up visits and examinations, would bring the prevention of possible concomitant diseases earlier than before and extend health care to survivors over their entire lifetime.

"It will certainly assist the patients in returning to their family and society in a better state," Xu said.

Ma Fei regarded the guidelines as an important step to change the disease-centered diagnosis and treatment model into a patient-centered one. "The patients should not only live longer but also live well," he said.

China issued the blueprint for health care development "Healthy China 2030" in 2016, aiming to raise the whole five-year cancer survival rate by 15 percentage points by 2030.

As for breast cancer, the five-year survival rate varies a lot among different areas. The eastern coastal cities report a survival rate of 90 percent, roughly the same level as in developed Western countries, while the inland and rural area rates are lower at 70 to 80 percent.

Moreover, the incidence of breast cancer in China is still growing by 3 to 4 percent annually, which is higher than the global average.

"To further improve the cure rate of breast cancer in China, early diagnosis and treatment are very important. So far, no more than 20 percent of breast cancer cases are detected at an early stage, and less than 5 percent are found by screening," Ma said.

China has started to promote free breast cancer and cervical cancer screenings among rural women since 2009. But how to select among different screening techniques, especially when targeting different age groups, there are yet no unified standards. The lack of screening professionals has also resulted in high rates of false or missed diagnosis.

The NCC also released the guidelines for screening and early diagnosis and treatment at the conference, which defines the screening targets and methods as well as early diagnosis and treatment paths.

While European and American countries recommend mammography as the major screening method, these guidelines suggest the best option for Chinese patients is to combine mammography with ultrasound examination.

"We cannot just copy the international guidelines. For example, Western women usually have larger breasts with more fat, very suitable for mammography, but Chinese women often have smaller breasts with higher density, better for ultrasound equipment," Ma explained.

"Covering healthy people and paying particular attention to high-risk groups, the guidelines will help increase early detection of breast cancer," he said.

A consensus on the diagnosis and treatment of young patients who want to retain normal fertility was also issued during the conference.

According to Ma, the peak incidence age of breast cancer in China is 10 to 15 years earlier than that in western countries, with many patients younger than 35 years old. Most of these patients do not give birth yet and desire to have babies.

It is almost impossible for young patients to avoid chemotherapy, which usually contains cyclophosphamide (CTX) that is harmful to the reproductive system. The endocrine therapy is also likely to cause sterility due to its impact on the uterus and ovary, Ma said.

A research reveals that although more than half of the patients in China are worried about the procreation problem, very few ask to adjust their treatment plans.

The consensus suggests that young patients should all receive genetic counseling regardless of their family history and doctors think over the CTX adverse effects for young patients who desire pregnancy.

"The consensus fills in the gap in helping protect the reproductive health of cancer patients and provides practical operational instructions for medical institutions at all levels, marking a new step toward establishing an overall management system for breast cancer in China," Ma said.

TOP STORIES
EDITOR’S CHOICE
MOST VIEWED
EXPLORE XINHUANET
010020070750000000000000011100001379366721
快3彩票购彩平台 大发彩票welcome 彩神 5分pk10 乐彩彩票 快三网站 大众购彩 一分11选5 极速快3 五分快乐十分 大发购彩中心 乐发lll 大发welcome 大发系列平台 东方彩票 五五世纪平台 凤凰快3 乐发IV彩票购彩中心 彩88 凤凰彩票官方网站 5分pk10 五五世纪 山西快3 55世纪购彩平台 乐发lx Welcome彩神 乐发3彩票APP 购彩中心 55世纪-购彩大厅 大发云app 星辰阁彩票购彩大厅 彩神v 大发彩票购彩平台 5分快3 快三彩票购彩平台 大發3分快3 快3平台 乐彩彩票 大发彩票快乐8 乐发IV welcome手机购彩 大众购彩 天天中平台 快盈IV500 幸运快三 买大小平台赚钱 1分快3 彩神彩票购彩平台 大发pk10 彩信平台 三分11选5 快3购彩中心 乐发ll下载app 彩神Welcome登录入口 乐发 采彡神争霸 快盈iv 神彩v8 55世纪官网 大发彩票www官方 凤凰彩票 10分快三 快三彩票官方网站 五分飞艇 乐发彩票官方网站 乐发Vll 大发快乐8官网 乐发app 大发彩票welcome 幸运5分彩 百姓快3 百度彩票 彩神网 大发彩票 3分快三 快3彩票 一分11选5 极速快3 五分快乐十分 大发购彩中心 乐发lll 大发welcome 大发系列平台 东方彩票 五五世纪平台 凤凰快3 乐发IV彩票购彩中心 彩88 凤凰彩票官方网站 5分pk10 55世纪 重庆快3 55世纪官方网站 乐发VI 彩神 乐发Ⅲ welcome大发彩票 大发购彩大厅welcome 百姓快三 名发app PK彩票 大发彩票购彩平台 5分快3 快三彩票购彩平台 大發3分快3 快3平台 乐彩彩票 大发彩票快乐8 乐发IV welcome手机购彩 五分快三 10元投资彩票赚钱平台 鼎发彩票 彩神iv争霸 网信快3 一分快3 凤凰彩票app下载 3分pk10 乐彩 湖南快3 快3购彩平台 乐发lv 彩神Welcome入口 乐发1 彩神8 百姓彩票welcome 一分三可空降可约app下载 彩神ix 彩票宝 大发彩票app下载 10分快3 快3彩神官方网站 四川快3 乐发彩票购彩平台 乐发彩票ll 大发快乐8官方网站 乐发app下载 welcome凤凰彩票 万乐彩 在线快3 百度彩票 彩神网 大发彩票 3分快三 快3彩票 一分11选5 极速快3 五分快乐十分 大发购彩中心 乐发lll 彩神welcome 乐发网投平台 网信彩票 优彩彩票 彩神8v 网信快三 乐乐彩 凤凰彩票购彩平台 10分pk10 55世纪 重庆快3 55世纪官方网站 乐发VI 彩神 乐发Ⅲ welcome大发彩票 大发购彩大厅welcome 百姓快三 名发app PK彩票 大发彩票购彩平台 5分快3 快三彩票购彩平台 大發3分快3 快3平台 分分快3 大发快乐8 乐发ll welcome购彩中心 五分快三 10元投资彩票赚钱平台 鼎发彩票 彩神iv争霸 网信快3 一分快3 凤凰彩票app下载 3分pk10 乐彩 湖南快3 55世纪购彩平台 乐发lx Welcome彩神 乐发3彩票APP 购彩中心 55世纪-购彩大厅 大发云app 星辰阁彩票购彩大厅 彩神v 大发彩票官方网站 五分快3 快3彩票购彩平台 三分PK10 乐发彩票 乐发国际 大发快乐8购彩平台 乐发III 手机购彩 一分快3平台 彩神v8 快三网站 天天彩票 快三平台 1分快三 彩神彩票官方网站 大发三分快3 极速快三 三分PC蛋蛋 彩神购彩中心 乐发lll下载 彩神welcome 乐发网投平台 网信彩票 优彩彩票 彩神8v 网信快三 乐乐彩 凤凰彩票购彩平台 10分pk10 快三彩票官方网站 五分飞艇 乐发彩票官方网站 乐发Vll 大发快乐8官网 乐发app 大发彩票welcome 幸运5分彩 百姓快3 vip彩票购彩大厅 直播快三 彩神彩票 3分快3 快三彩票 大發5分快3 极速快3购彩平台 分分快3 大发快乐8 乐发ll welcome购彩中心 五分快三 10元投资彩票赚钱平台 鼎发彩票 彩神iv争霸 网信快3 一分快3 凤凰彩票app下载 3分pk10 乐彩 湖南快3 快3购彩平台 乐发lv 彩神Welcome入口 乐发3彩票APP 购彩中心 55世纪-购彩大厅 大发云app 星辰阁彩票购彩大厅 彩神v 大发彩票购彩平台 5分快3 快三彩票购彩平台 大發3分快3 快3平台 乐彩彩票 大发彩票快乐8 乐发IV welcome手机购彩 大众购彩 天天中平台 快盈IV500 幸运快三 买大小平台赚钱 1分快3 彩神彩票购彩平台 大发pk10 彩信平台 三分11选5 快3购彩中心 乐发ll下载app 彩神Welcome登录入口 乐发 采彡神争霸 快盈iv 神彩v8 55世纪官网 大发彩票www官方 凤凰彩票 10分快三 快三彩票官方网站 五分飞艇 乐发彩票官方网站 乐发Vll 大发快乐8官网 乐发app 大发彩票welcome 幸运5分彩 百姓快3 百度彩票 彩神网 大发彩票 3分快三 快3彩票 一分11选5 极速快3 五分快乐十分 大发购彩中心 乐发lll 大发welcome 大发系列平台 东方彩票 五五世纪平台 凤凰快3 乐发IV彩票购彩中心 彩88 凤凰彩票官方网站 5分pk10 五五世纪 山西快3 55世纪购彩平台 乐发lx Welcome彩神 乐发3彩票APP 购彩中心 55世纪-购彩大厅 大发云app 星辰阁彩票购彩大厅 彩神v 大发彩票官方网站 五分快3 快3彩票购彩平台 三分PK10 乐发彩票 乐发国际 大发快乐8购彩平台 乐发III 手机购彩 一分快3平台 10元投资彩票赚钱平台 鼎发彩票 彩神iv争霸 网信快3 一分快3 凤凰彩票app下载 3分pk10 乐彩 湖南快3 快3购彩平台 乐发lv 彩神Welcome入口 乐发1 彩神8 百姓彩票welcome 一分三可空降可约app下载 彩神ix 彩票宝 大发彩票app下载 10分快3 快3彩神官方网站 四川快3 乐发彩票购彩平台 乐发彩票ll 大发快乐8官方网站 乐发app下载 welcome凤凰彩票 万乐彩 在线快3 百度彩票 彩神网 大发彩票 3分快三 快3彩票 一分11选5 极速快3 五分快乐十分 大发购彩中心 乐发lll 彩神welcome 乐发网投平台 网信彩票 优彩彩票 彩神8v 网信快三 乐乐彩 凤凰彩票购彩平台 10分pk10 55世纪 重庆快3 55世纪官方网站 乐发VI 彩神 乐发Ⅲ welcome大发彩票 大发购彩大厅welcome 百姓快三 名发app PK彩票 大发彩票购彩平台 5分快3 快三彩票购彩平台 大發3分快3 快3平台 乐彩彩票 大发彩票快乐8 乐发IV welcome手机购彩 大众购彩 天天中平台 快盈IV500 幸运快三 买大小平台赚钱 1分快3 彩神彩票购彩平台 大发pk10 彩信平台 三分11选5 快3购彩平台 乐发lv 彩神Welcome入口 乐发1 彩神8 百姓彩票welcome 一分三可空降可约app下载 星辰阁彩票购彩大厅 彩神v 大发彩票官方网站 五分快3 快3彩票购彩平台 三分PK10 乐发彩票 乐发国际 大发快乐8购彩平台 乐发III 手机购彩 一分快3平台 彩神v8 快三网站 天天彩票 快三平台 1分快三 彩神彩票官方网站 大发三分快3 极速快三 三分PC蛋蛋 彩神购彩中心 乐发lll下载 彩神welcome 乐发网投平台 网信彩票