关键词: 乳腺肿瘤, 防治, 筛查, 流程

Abstract: Objective　To construct a complete，standardized and patient-centered breast cancer prevention and control process based on general hospital-community collaboration model with clear division of labor at all levels of medical institutions through integrating and optimizing the commonly used breast cancer screening tools and based on the foundation of regional family doctor contracted service.Methods　Through literature review，the current guidelines for breast cancer prevention and control at home and aboard were summarized.And then expert consultation method，brainstorming method and flow chart method were used to build the breast cancer prevention and control process.Results　The prevention and control process of breast cancer mainly consisted of three steps.Step 1：To build residents' awareness of cancer prevention through the health education from community general practitioners.Step 2：Gail-2 risk assessment and clinical breast examination were carried out by community general practitioners to screen out high-risk groups of breast cancer，and these high-risk residents were transferred to higher level of medical institutions.Step 3：Breast cancer was diagnosed and treated through mammography and other breast-related examination performed by specialists in general hospitals，and a rehabilitation prescription was issued.Conclusion　The establishment of breast cancer prevention and control process could enable the implementation of clinical guidelines for breast cancer and form a practical and feasible plan of breast cancer focusing on patient as the center with the reasonable division of labor among general hospital specialists and community general practitioners.It also completed the entire process from the early detection and early diagnosis to early treatment of breast cancer，avoiding the waste of medical resources because of multiple examinations and visits.At the same time，it could improve the ability of general practitioners in the clinical examination and control of breast cancer.

Key words: Breast neoplasms, Prevention and treatment, Screening, Process