家住上海的唐女士平时没有定期体检，上一次体检还是在三年前。一个月前，她发现自己乳房上侧有一个肿块， 还有些疼痛，于是来到医院检查，被确诊为乳腺癌。记者了解到，近年来，全球与中国的乳腺癌发病率均呈上升 趋势，而国内像唐女士这样较为年轻的患者不在少数。 复旦大学附属华山医院甲乳外科主任 金贻婷：乳腺癌实际上在女性当中，更多好发于大概在55岁、60岁的时 候。在40岁左右女性当中，还会出现另一波发病的小高峰。年轻乳腺癌进展会比老年的乳腺癌更快，肿块生长速 度快，出现淋巴结转移的概率也会偏高。 （央视财经《第一时间》）乳腺癌是全球最常见的恶性肿瘤之一，发病率在女性恶性肿瘤中居首位。根据世界卫 生组织统计，全球每年新发乳腺癌病例约有230万例，发病率呈逐年上升趋势。乳腺癌早期有哪些症状？又该如 何筛查？ 专家指出，由于自检不确定性较高，到医院进行定期筛查才是关键，包括超声、钼靶、核磁共振、乳管镜共四种 检查。大多数乳腺癌患者早期会出现乳腺钙化，而超声检查很难检查出这一症状，这就需要进行钼靶检查。 复旦大学附属华山医院甲乳外科主任 金贻婷：在X光片上表现出形态的异常，我们就会认为有手术指征，会做手 术，我们也在这类人群当 ...

10月是"世界乳腺癌防治月"。在近日接受第一财经采访时，中国抗癌协会乳腺癌专业委员会委员、美中 爱瑞乳腺肿瘤中心副主任医师潘永提到上述患者，他表示，近年来中国乳腺癌患者五年生存率逐步攀 升，但早诊率与发达国家仍有一定差距，差距背后的一大原因就是早筛的精准度不够高。 对于乳腺癌患者，早期发现的五年生存率可以达到近90%，晚期五年生存率则可能不到30%。 "我见到最年轻的乳腺癌患者才19岁，一个刚上大一的孩子怎么会考虑到自己得了乳腺癌？" "作为群体性筛查，'两癌'筛查（乳腺癌和宫颈癌）已被纳入基本公共卫生服务，服务对象为35~64周岁 妇女；作为机会性筛查，女性往往到了40~45岁之后，或者处于更年期，才需要定期来医院做相关体检 项目。但随着社会生活方式改变，乳腺癌正显示出年轻化趋势。比如在临床上，我们时而会看到一些三 类结节（BI-RADS 3，BI-RADS为乳腺结节恶性程度的分级）女性，由于经常熬夜班、精神压力加大， 仅一个月的时间，就迅速进展为BI-RADS 4B结节人群。"潘永说。 北京宜和医院健康管理中心副主任医师连士杰在接受第一财经采访时也提到，乳腺超声检查仍是针对健 康人群疾病初筛的首选，它不仅 ...

中新健康丨乳腺癌有张"高危清单" 专家：这类人需更早启动早筛 中新网北京10月23日电(记者 张尼 实习生 保乐)"要知道病人的母亲或者其他亲属，有没有在50岁之前得 过乳腺癌，若存在这类家族史，个体患病风险会显著升高，需更早启动筛查并密切关注身体变化。"中 国抗癌协会乳腺癌专业委员会委员、美中爱瑞乳腺肿瘤中心副主任医师潘永日前在北京接受记者采访时 表示。 当前，乳腺癌已成为威胁中国女性健康最常见的恶性肿瘤之一。据国家癌症中心统计，2022年中国乳腺 癌新发病例数为35.72万例，占癌症新发病例数的15.6%。10月是世界乳腺癌防治月，近日，在GE医疗 与美中宜和医疗联合开展的乳腺癌防治关爱活动上，多位专家围绕乳腺健康管理话题接受记者采访。 对于乳腺癌的早筛问题，潘永强调，家族史是重要预警信号，尤其要关注直系亲属的患病情况，如果其 母亲或者其他亲属在50岁之前得过乳腺癌，需更早启动筛查。 此外，基因检测相关的特定指标异常也需警惕，这类指标异常可能提示潜在风险，需通过专业医疗评估 制定后续方案。 对于高危人群，分层管理至关重要。连士杰列出高危因素清单：女性生理特性(如初潮过早、闭经过 晚、多次生产史)；肥胖、吸 ...

Core Insights - Different age groups require tailored health check-up items to effectively monitor health risks and conditions [1] Group 1: Health Check-up Recommendations by Age - For individuals aged 30-40, the focus should be on monitoring blood pressure, blood sugar, and blood lipids due to lifestyle factors leading to obesity [3][4] - Women in this age group should prioritize gynecological and breast examinations, while men should start prostate checks after age 35 [6][7] - For those aged 40-50, cardiovascular diseases and cancer risks increase, necessitating heart-related tests and cancer screenings [6][7] - Individuals over 50 should begin screening for bone density and metabolic levels, as well as gastrointestinal diseases and cardiovascular conditions [9][11] Group 2: Common Misconceptions about Health Check-ups - It is a misconception that more expensive tests yield better results; the focus should be on tests that are appropriate for individual health needs [13][15] - Waiting until experiencing discomfort before getting a check-up is incorrect; regular check-ups are essential for early disease detection [15][17] - Post-check-up, it is crucial to thoroughly review the report and seek further medical advice for any significant findings [17][19]

Group 1 - The core focus of health check-ups varies by age group, with specific tests recommended for different age ranges [1][5][9] - For individuals aged 30-40, monitoring blood pressure, blood sugar, and blood lipids is crucial, with recommendations for semi-annual checks [2][3] - Women in this age group should prioritize gynecological and breast examinations, while men should begin prostate checks after 35 [4][6] Group 2 - For the 40-50 age group, cardiovascular health and cancer screenings become critical, as this period is identified as a "high-risk" health phase [5][6] - Recommended tests include cardiac ultrasounds, ECGs, and lung CT scans to screen for lung cancer, alongside breast and cervical cancer screenings for women [6][7] - Individuals with a family history of tumors should undergo early screenings [8] Group 3 - For those aged 50 and above, bone density and vascular health are emphasized, with a focus on osteoporosis and gastrointestinal diseases [9][10] - Regular screenings for bone density and gastrointestinal issues, including gastroscopy, are advised, along with cardiovascular health checks [10] - Eye examinations are also recommended for this age group [10] Group 4 - Common misconceptions about health check-ups include the belief that more expensive tests yield better results, which is not necessarily true [11][12][13] - It is incorrect to wait until feeling unwell to seek check-ups, as early detection is key to effective intervention [13] - Post-examination, individuals should carefully review their reports and seek further medical advice for any significant findings [13]

Core Viewpoint - Breast cancer is a significant health threat to women in China, but advancements in medical treatment have improved the 5-year survival rate to 83.2% [1] Group 1: Current Situation and Statistics - Approximately 72% of breast cancer patients in China are diagnosed at an early stage, yet 30% of high-risk patients may experience recurrence within the first few years [1] - The 5-year survival rate for late-stage breast cancer is only 20%, with a median survival time of 2-3 years [1] Group 2: Genetic Factors and Risk Assessment - 5%-10% of breast cancer patients have hereditary breast cancer due to genetic mutations, with BRCA1/2 being the most critical susceptibility genes [2] - 5%-20% of breast cancer patients in China carry BRCA mutations, which are more common in HER2-negative breast cancer, particularly in triple-negative breast cancer (TNBC) [2] Group 3: Importance of Genetic Testing - Genetic testing for BRCA1/2 is recommended for patients with a family history of breast cancer and those diagnosed with invasive TNBC, especially with lymph node involvement [3] - Accurate diagnosis through genetic testing is essential for developing personalized treatment plans and improving treatment efficacy [3] Group 4: Treatment and Prevention Strategies - New treatment options based on genetic mutations require clear identification of the mutation-carrying population for effective outcomes [4] - Regular breast cancer screenings are advised for women aged 35 to 70, along with self-examinations to facilitate early detection and treatment [4]