重新考虑乳腺癌和前列腺癌的查
Laura Esserman1, Yiwey Shieh, Ian Thompson
1Department of Surgery and Radiology, University of California, San Francisco, San Francisco, CA 94115, USA. laura.esserman@ucsfmedctr.org
JAMA
|October 22, 2009
概括
20年来乳腺癌和前列腺癌的查显示,发病率和早期诊断的增加,可能会过度诊断低风险病例. 需要新的查和早期检测策略来降低癌症死亡率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 癌症查 癌症查
背景情况:
- 分析了20年的乳腺癌和前列腺癌查数据.
- 观察到癌症发病率和诊断时的癌症阶段的趋势.
研究的目的:
- 评估癌症查计划的长期影响.
- 评估当前查在减少癌症死亡率方面的有效性.
- 提出癌症查和早期发现的新方法.
主要方法:
- 对癌症发病率数据的纵向分析.
- 查实施前后癌症阶段分布的比较.
- 评估与查计划有关的死亡率趋势.
主要成果:
- 癌症发病率在查引入后增加,并没有恢复到基线.
- 早期癌症诊断的比例显著增加.
- 区域性癌症的发病率并没有比例下降,这表明对侵袭性疾病的影响有限.
结论:
- 目前的查可能会导致低风险癌症的过度诊断.
- 查可能无法有效降低来自侵袭性癌症的死亡率.
- 查,早期检测和预防的新策略对于乳腺癌和前列腺癌至关重要.
相关概念视频
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
Cancer Prevention
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
Disorders of the Male Reproductive System
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...

