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Breast cancer in China
Lei Fan1, Kathrin Strasser-Weippl2, Jun-Jie Li1
1International Breast Cancer Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Department of Breast Surgery, Cancer Center and Cancer Institute, Fudan University, Shanghai, China.
The Lancet. Oncology
|May 30, 2014
Summary
Breast cancer is the most common cancer in Chinese women, with increasing incidence and mortality. Addressing disparities in screening, diagnosis, and awareness is crucial for improving patient outcomes in China.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Cancer burden is rising in China, with over 1.6 million diagnoses and 1.2 million deaths annually.
- Breast cancer is the most prevalent cancer among Chinese women, contributing significantly to global statistics.
- China's contribution to global breast cancer rates is rapidly increasing due to socioeconomic and reproductive changes.
Purpose of the Study:
- To review current breast cancer control measures in China.
- To highlight epidemiological and socioeconomic disparities affecting breast cancer care access.
- To identify key areas for improving health outcomes for Chinese breast cancer patients.
Main Methods:
- Review of existing literature and data on breast cancer in China.
- Analysis of demographic, epidemiological, and socioeconomic factors.
- Comparison of breast cancer characteristics and care in China versus high-income countries.
Main Results:
- Chinese women are diagnosed at a younger age with breast cancer compared to high-income countries.
- Lower rates of screening, delayed diagnosis leading to advanced stages, and inadequate resources are prevalent.
- Significant disparities exist within China based on geography and socioeconomic status.
- Lack of awareness about breast cancer is a notable issue in the Chinese population.
Conclusions:
- Breast cancer control in China faces challenges including younger age at onset and delayed diagnosis.
- Addressing disparities in screening, diagnosis, resources, and awareness is essential.
- Implementing targeted measures can improve health outcomes for breast cancer patients in China.

