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亚洲肺癌查:一个专家共识报告

David Chi-Leung Lam¹, Chong-Kin Liam², Sita Andarini³

¹Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, People's Republic of China.

Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer

|June 30, 2023

概括

在亚洲的肺癌查需要负担得起,可访问的方法. 专家建议每年为高危人群进行低剂量计算机断层扫描,同时考虑当地的挑战和早期检测的量身定制策略.

科学领域:

在瘤学瘤学.
公共卫生公共卫生
放射学放射学是一门学科.

背景情况:

肺癌发病率和死亡率在亚洲最高.
早期诊断对于有效治疗肺癌和降低死亡率至关重要.
亚洲的医疗保健差异需要量身定制的肺癌查和诊断方法.

研究的目的:

讨论和推亚洲人口负担得起和可访问的肺癌查方式.
为应对亚洲国家肺癌查和早期检测的独特挑战.

主要方法:

召开了一个虚拟的指导委员会会议,由来自11个亚洲国家的19名顾问参加.
讨论的重点是确定适合亚洲人群的具有成本效益和可访问的肺癌查方法.

主要成果:

亚洲吸烟者肺癌的关键风险因素包括年龄 (50-75岁) 和吸烟史 (≥20包年);非吸烟者的家族史是显著的.
对于有异常和危险因素的患者,建议每年进行低剂量计算机断层扫描 (LDCT).
对于80岁以上或无法/不愿接受治愈治疗的个人,建议停止查.

结论:

在亚洲实施LDCT查面临经济局限性和缺乏政府计划等挑战.
建议制定战略,克服这些障碍,改善亚洲的早期肺癌检测.

关键词:

亚洲亚洲亚洲亚洲早期检测早期检测 LDCT的选对象包括:肺癌是一种肺癌.非吸烟者非吸烟者

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