国际瘤学会关于癌查的共识指南
Elizabeth A Stier1, Megan A Clarke2, Ashish A Deshmukh3,4
1Department of Obstetrics and Gynecology, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
国际门瘤学会 (IANS) 制定了高风险群体门癌查的指导方针. 建议包括对与男性发生性关系的男性 (MSM),跨性别女性 (TW),艾滋病毒感染者和移植接受者进行基于年龄的查.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 门癌的发病率正在增加,特别是在高风险人群中.
- 现有的查协议缺乏针对各种高风险群体的标准化指南.
- 通过查进行早期检测对于改善门癌症结果至关重要.
研究的目的:
- 在特定高风险人群中制定门癌查的共识指南.
- 确定启动癌查的基于年龄的风险值.
- 为管理异常查结果和实施风险准查提供框架.
主要方法:
- 在定义的风险群体内根据年龄对癌发病率估计的分析.
- 确定风险值以指导查启动建议.
- 审查当前门癌症查策略,包括门细胞学,hr-HPV测试和高分辨率异视镜 (HRA).
主要成果:
- 建议在35岁开始对与男性发生性关系的男性 (MSM) 和艾滋病毒感染的跨性别女性 (TW) 进行查.
- 建议在45岁开始对其他艾滋病毒感染者和没有艾滋病毒的MSM/TW进行查.
- 针对实体器官移植接受者和有性腺癌或宫癌前/癌症病史的个体的具体建议.
结论:
- 该指南提供了基于证据的建议,用于在各种高风险群体中启动癌查.
- 该指南确定了HRA转诊和后续查的门,使用当前的诊断工具.
- 这些共识指南旨在在全球范围内规范门癌查和预防策略.
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