Suitable breast cancer screening strategy for Chinese women

Breast cancer poses a significant threat to the health and lives of Chinese women. Breast cancer screening can significantly improve the detection rate and breast conserving rate of early breast cancer, thereby enhancing patients’ quality of life and reducing mortality. Through analyses of the characteristics of breast cancer in Chinese women and related evidence-based medicine pertaining to screening, we suggested that the current breast cancer screening strategy for Chinese women should prioritize the strengthening of public health education to enhance cancer awareness and actively promote breast self-examination (BSE) and clinical breast examination (CBE). Breast imaging examination should mainly choose breast ultrasound, supplemented by mammography and breast magnetic resonance imaging. Risk stratification for breast cancer should be performed in the female population. For women at average risk, annual breast cancer screening should commence at age 40. For high-risk individuals, screening should be initiated earlier and at a higher frequency. With the changing of the epidemiological characteristics of breast cancer among Chinese women and the accumulation of new evidence, the suitable screening strategy for breast cancer in Chinese women also needs to be updated regularly.