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| Result of screening of upper gastrointestinal cancer in Kuancheng District of Changchun and surrounding rural areas |
| CHEN Jingnan, XIN Ming, LIU Jiping, LIU Guoshi, XU Li |
| Department of Internal Medicine,Jilin Provincial Corps Hospital,Chinese People's Armed Police Force,Changchun 130052,China |
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Abstract Objective To find out about the incidence and distribution of populations at high risk of precancerous lesions of upper gastrointestinal cancer and upper gastrointestinal cancer in Kuancheng District of Changchun and surrounding rural areas so as to provide reference for early detection of upper gastrointestinal cancer. Methods High-risk populations aged 40 to 69 and living in Kuancheng District and surrounding rural areas were screened.The high risk populations were subjected to esophagusmucosa iodin dyein,indigo carmine dyeing and indicative biopsies under an endoscope. Results Between October 2013 and November 2016,a total of 4037 cases were screened,2528 of whom were from urban neighborhoods.Among these urban residents, there were 32 cases of cancer(1.27%),23 cases of precancerous lesions(0.91%,132 cases oflow-grade intraepithelial neoplasia of the esophagus(5.22%),33 cases of low-grade gastric intraepithelial neoplasia(1.31%),116 cases of CAG(4.59%).Among the 1509 cases screened from rural areas,there were 23 cases of cancer(1.52%),10 cases of precancerous lesions(0.66%),93 cases of low-grade intraepithelial neoplasia of the esophagus(6.16%),32 cases of low-grade gastric intraepithelial neoplasia(2.12%),and 87 cases of CAG(5.77%).The distribution of populations with upper gastrointestinal cancer was significantly different between urban and rural areas(P1=0.034<0.05), but there was no significant difference between urban and rural areas in the distribution of populations withlow-grade intraepithelial neoplasia of the esophagus、low-grade gastric intraepithelial neoplasia or CAG(P2=0.526>0.05). Conclusions According to endoscopy of high-risk populations,the incidence of precancerous lesions of upper gastrointestinal cancer and upper gastrointestinal cancer is high. The detection rate of advanced upper gastrointestinal cancer is higher in rural areas than in urban areas.Screening seems more acceptable to urban residents.
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Received: 20 May 2017
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2017, Vol. 28 
