期刊
CANCERS
卷 14, 期 17, 页码 -出版社
MDPI
DOI: 10.3390/cancers14174218
关键词
Asian breast cancers; mammography screening; risk-based screening
类别
资金
- Agency for Science, Technology and Research (A*STAR)
- A*STAR Social Sciences & Technology Horizontal Technology Programme Office (SST HTPO) 1st Social Sciences Innovation Seed Fund (SSISF 2021) [C211618001]
- PRECISION Health Research, Singapore Clinical Implementation Pilot (PRECISE CIP) Fund
This article summarizes the burden of breast cancer in Asian countries and discusses breast cancer screening guidelines and risk-based screening initiatives.
Simple Summary Nearly all breast cancer patients survive for more than five years when the tumor is found early and in the localized stage. Regular clinical breast examinations, mammograms, and monthly self-exams of the breasts all contribute to early detection. However, late-stage breast cancers are common in many Asian countries. Low-income countries suffer from a lack of resources for breast cancer screening. High-income countries, on the other hand, are not benefiting fully from national breast screening programs due to an underutilization of the preventive healthcare services available. Existing reviews on Asian breast cancers are heavily focused on risk factors. The question of whether we should adopt or adapt the knowledge generated from non-Asian breast cancers would benefit from an extension into screening guidelines. In addition, several Asian countries are piloting studies that move away from the age-based screening paradigm. Close to half (45.4%) of the 2.3 million breast cancers (BC) diagnosed in 2020 were from Asia. While the burden of breast cancer has been examined at the level of broad geographic regions, literature on more in-depth coverage of the individual countries and subregions of the Asian continent is lacking. This narrative review examines the breast cancer burden in 47 Asian countries. Breast cancer screening guidelines and risk-based screening initiatives are discussed.
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