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[Overdiagnosis in cancer]
Mercè Marzo-Castillejo1, Carmen Vela-Vallespín2
1Unitat Suport Recerca Metropolitana Sud-IDIAP Jordi Gol, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España; Grupo de Trabajo de Prevención del Cáncer del PAPPS; Grupo de Trabajo de Cáncer de la semFYC.
Abstract:
Overdiagnosis of cancer is the detection of asymptomatic cancers that do not grow or they are growing with such slowness, that they would never have caused medical problems in the patient during the course of their life. Often they are tumours that are detected through population screenings but also in the clinical context due to incidental findings from image tests with advanced technology. Some of these tumours could even disappear spontaneously without treatment. The patient may die as a result of another disease before the cancer has caused symptoms. For that reason, the diagnosis of these tumours is an important cause of over-treatment, which can include serious risks and toxicity. Although overdiagnosis can occur in any disease, it is more relevant in the case of cancer.
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