Breast Cancer Statistics, 2013
Breast Cancer Statistics, 2013
复制标题
DOI：
10.3322/caac.21203
复制
发表时间：
2014-01-01
影响因子：
254.7
通讯作者：
Jemal, Ahmedin
中科院分区：
文献类型：
--
作者：
DeSantis, Carol;Ma, Jiemin;Jemal, Ahmedin
在这篇文章中，美国癌症协会概述了美国女性乳腺癌的统计数据，包括发病率、死亡率、生存率和筛查方面的数据。2013年，预计美国女性中将有约232340例浸润性乳腺癌新发病例以及39620例乳腺癌死亡病例。在美国，每8名女性中就有1人在其一生中会患乳腺癌。2006年至2010年期间，非洲裔美国女性的乳腺癌发病率略有上升；西班牙裔女性的发病率下降；而白人、亚裔美国人/太平洋岛民以及美洲印第安人/阿拉斯加原住民的发病率保持稳定。从历史上看，在40岁及以上的女性中，白人女性的乳腺癌发病率最高；然而，白人女性和非洲裔美国女性的发病率正在接近，尤其是在50岁至59岁的女性中。最年轻的白人女性、60岁至69岁的西班牙裔女性以及除年龄最大的非洲裔美国女性之外的所有女性，其雌激素受体阳性乳腺癌的发病率有所上升。相比之下，大多数年龄组和种族/族裔群体的雌激素受体阴性乳腺癌发病率有所下降。这些不同的趋势可能反映了病因的异质性以及一些因素（如肥胖和生育情况）对不同肿瘤亚型风险的不同影响。自1990年以来，乳腺癌死亡率下降了34%，除美洲印第安人/阿拉斯加原住民外，所有种族/族裔群体都呈现出这种下降趋势。然而，不同种族/族裔之间的生存差异仍然存在，非洲裔美国女性的乳腺癌生存率在所有种族/族裔群体中是最低的。要在乳腺癌控制方面继续取得进展，就需要持续加大努力，为所有人群提供高质量的筛查、诊断和治疗。《癌症临床医生杂志》2014年；64卷：52 - 62页。（©）2013美国癌症协会。
In this article, the American Cancer Society provides an overview of female breast cancer statistics in the United States, including data on incidence, mortality, survival, and screening. Approximately 232,340 new cases of invasive breast cancer and 39,620 breast cancer deaths are expected to occur among US women in 2013. One in 8 women in the United States will develop breast cancer in her lifetime. Breast cancer incidence rates increased slightly among African American women; decreased among Hispanic women; and were stable among whites, Asian Americans/Pacific Islanders, and American Indians/Alaska Natives from 2006 to 2010. Historically, white women have had the highest breast cancer incidence rates among women aged 40 years and older; however, incidence rates are converging among white and African American women, particularly among women aged 50 years to 59 years. Incidence rates increased for estrogen receptor-positive breast cancers in the youngest white women, Hispanic women aged 60 years to 69 years, and all but the oldest African American women. In contrast, estrogen receptor-negative breast cancers declined among most age and racial/ethnic groups. These divergent trends may reflect etiologic heterogeneity and the differing effects of some factors, such as obesity and parity, on risk by tumor subtype. Since 1990, breast cancer death rates have dropped by 34% and this decrease was evident in all racial/ethnic groups except American Indians/Alaska Natives. Nevertheless, survival disparities persist by race/ethnicity, with African American women having the poorest breast cancer survival of any racial/ethnic group. Continued progress in the control of breast cancer will require sustained and increased efforts to provide high-quality screening, diagnosis, and treatment to all segments of the population. CA Cancer J Clin 2014;64:52-62. ((c)) 2013 American Cancer Society, Inc.