Screening Results of Colorectal Cancer in Urban Area of Hebei Province, 2018-2019

Abstract

Objective To analyze the screening results of colorectal cancer in urban area of Hebei Province from 2018 to 2019. Methods According to the screening process of early diagnosis and treatment of colorectal cancer in urban area of Hebei Province, we enrolled local residents aged 40-74 years from the selected communities in Shijiazhuang and Tangshan City. The high-risk populations were evaluated by national unified evaluation model after the questionnaires. The early colorectal lesions were detected by colonoscopy, and further confirmed pathologically if necessary. Results From 2018 to 2019, a total of 37849 urban residents were involved in the risk assessment of colorectal cancer, and 6938 (18.33%) cases were evaluated as the high risk population of colorectal cancer, among which 1230 cases received colonoscopy examination and 37.8%(465/1230) received pathological examination. The age of the residents who received pathological diagnosis was mainly distributed in the age group of 50-64 years. A total of 6 (0.49%) patients with colorectal cancer were diagnosed, including 4 (0.33%) cases of colon cancer and 2 (0.16%) cases of rectum cancer. The detection rates of colorectal precancerous lesion, non-advanced adenoma/polyp and inflammatory intestinal disease were 15.45%, 20.22% and 13.66%, respectively. Conclusion Colonoscopy screening could effectively detect colorectal cancer and precancerous lesions, and achieve early detection, early diagnosis and early intervention of colorectal cancer.

Keywords

• colorectal cancer
• screening
• early diagnosis and treatment
• urban
• hebei province