"WHO does not recommend that women breast self-examination as a screening method of promotion, but, depending on the level of China's current anti-cancer, it is recommended that the general women's monthly breast self-examination." Cancer expert said that in the absence of a clear picture of China's anti-cancer levels of breast cancer before the The how to prevent, how governance not a unified standard. To this end, initiated by the China Cancer Foundation, Pfizer Pharmaceuticals funded "Chinese breast cancer research project" was officially launched recently in Chengdu, China Academy of Medical Sciences Cancer Hospital, Sun Yat-Sen Cancer Hospital and other hospitals have seven representatives to participate in the project, The results will be published next year.

Editors note:please note that this article was translated from traditional chinese with the use of Google Translate and as such contains several grammatical errors.

So that Europe and the United States the incidence of breast cancer screening drops. It is understood that breast cancer is the second most common type of cancer, is by far the most common cancer in women. More than half of breast cancer cases have occurred in developed countries, in most Asian and African countries, breast cancer morbidity and mortality in an uptrend.

In our country, in recent years, breast cancer morbidity and mortality trends are poised to rise and become younger age of onset. Recalling the Third National sample survey showed the cause of death: My breast cancer causes of death in the ranks eighth overall, urban and rural female breast cancer death rates were 3.98/10 and 2.35/10 10000 10000.

"These years, the United States and some other developed countries, breast cancer incidence and mortality rates decline, but our 2004 to 2005 breast cancer deaths compared with 1990 to 1992 increased by 68.6%." Beijing Union Medical College Cancer Institute Qiao Lin, director of epidemiology research that the United States, Britain, Canada and other developed countries, breast cancer incidence, mortality decline, because these countries screening for breast cancer research. China also needed for the clinical stage of breast cancer trends and characteristics of the study. "The how to prevent, have come up with their own scientific data." Qiao Lin said.

WHO does not recommend breast "Zimo"

WHO recommends that: the National Cancer Prevention Program is not recommended for women breast self-examination as a screening method to promote the use of, while the 40-year-old to 69 years to encourage women to seek medical operation by trained clinical breast examination for the early diagnosis of breast cancer. In other words, WHO does not recommend promotion of monthly "Zimo" method of breast self-examination. Qiao Lin said, WHO's proposal is, according to Europe and the United States and other countries raised the level of anti-cancer.

Qiao You-lin said that the prevention of cancer is divided into three levels: primary prevention is to eliminate or reduce the factors that may cause cancer and prevent cancer from occurring; secondary prevention is early detection, early diagnosis and timely and reasonable treatment; tertiary prevention is to improve the survival of quality and reduce the suffering and prolong life. At present, the etiology of breast cancer is not clear enough, in addition to a small number of patients with genetic-related disease, the 90% of the patients of unknown etiology, there are still difficulties in primary prevention, screening and appropriate treatment will be a combination of methods are considered to be present to reduce breast cancer mortality rate in the most effective way. He said, WHO's recommendations are based on the international arena (including China) is not derived statistics "Zimo" breast can reduce mortality reached, unless the touch of an early breast cancer. Breast Cancer Hospital, Beijing Union Medical College director of the Center, the National "Eleventh Five-Year" Breast Project Leader Professor Zhang Baoning also pointed out that "Zimo" may touch a lot of "false positive" breast cancer, arousing fear, to reduce mortality also did not help.

Conditions are different, "Zimo" sometimes very useful

"WHO's recommendations and is not suitable for implementation in our country." President of the Chinese Academy of Medical Sciences Cancer Hospital, Cancer Research Institute Professor Zhao Ping told reporters that the experience of foreign countries and China is different from the United States, anti-cancer is higher than China, many Western developed countries, breast cancer screening program has Molybdenum target X ray as the breast cancer screening methods, and effectively reduce the mortality rate. "They provide a basic guarantee for an annual breast examination, so the monthly 'Zi Mo' breast self-examination of the way meaningful to them." Compared with developed countries, China's population-based organized breast cancer screening a late start, a considerable number of women are still unable to do so every year, the Medical palpation, breast B-, molybdenum target X-ray examination, under such conditions, you should conduct self-inspection. "Indeed there are still many patients treated in hospitals for their own palpable mass, and then was diagnosed with breast cancer." Zhang Bao-Ning said.

"10 years ago, was found on clinical breast cancer are self-touch, so the breast self-examination is still useful, but also in the know 'feeling' of the premise." Zhao Ping, said many rural women, breast flow, and rotten and we have to seek medical treatment, but also claimed to have often visited the "Zimo" breast, but it is certainly self-examination method is wrong. He suggested that once a year and effective breast screening, it basically does not require a monthly "Zimo" breast, or should otherwise self-examination, and must master the right breast, "Zimo" approach.

Breast examination 5 France

First, self-censorship

Women from the age of 20 can be a monthly breast self-examination once the most suitable time in menstrual cramps after 9 ~ 11 days.

• 1. Look. The face of the mirror drooping hands, carefully observe whether the size of the breasts on both sides of symmetry, there are no unusual processes, skin and nipple have depression or eczema.
• 2. Touch. On the back of his left hand raised to his head with his right hand check the left internal mammary to pulp soft reduction breasts, feeling whether there are lumps; from the nipple ring in a clockwise direction started checking out gradually touch 34 laps of all the breast examination End date, check the right breast with the same way.
• 3. Lying. Lying down, and right shoulder delegated a pillow, under the right-hand bend to the head, repeat the "touch" approach, checking both sides of the breasts.
• 4. Twist. Thumb and index finger pressure to tighten the nipple, pay attention to whether the abnormal secretions.
• 2, the doctor palpation. After the 30-year-old women can be done once a year to find a specialist palpation, this is the first step in the professional breast examination.
• 3, infrared scanning- The inspection does not belong to breast professional examination, but check the speed, non-radioactive frequently in the medical screening examination as a breast disease, is more suitable for women during pregnancy and lactation.
• 4, B-ultrasound -This is a preliminary screening for breast lumps examination means. When there is suspicion of breast lumps, B-ultrasound can be used to determine the nature and location of tumor, but may miss small lumps.
• 5, mammography examination- Women in the 40-year-old, the annual mammography examination should be done. If you can insist that such inspection annually, can significantly reduce mortality. (Liang Yu)

Minimally invasive biopsy of suspected breast cancer may be

Professor Zhang Baoning, said self-examination, doctor examination or X-ray photograph is to find a common means of breast abnormalities. If you find an exception, usually need to do biopsy. It is understood that the current rapid development of minimally invasive breast biopsy techniques (such as "Mammotome vacuum-assisted breast biopsy") may keep breast aesthetic, based on the removal of mass, and further accurate diagnosis, surgical incision is only 2 mm and after almost no scar breast no deformation, but also for doctors to provide adequate pathological analysis of organizations, in order to provide accurate patient diagnosis. (Liang Yu) (This article Source: New Express)

New Express reporter Liang Yu

Interview Expert: Beijing Union Medical College Institute of Cancer Epidemiology Research Office, Qiao Lin

Breast Cancer Hospital, Beijing Union Medical College director of the Center, the National "Eleventh Five-Year" Breast Project Leader Professor Zhang Baoning

Chinese Academy of Medical Sciences Cancer Hospital, Cancer Research Institute Professor Zhao Ping