摘要
癌症的筛查和早期诊断无疑对提高患者生存率、改善预后具有重大意义，但同时也会带来过度诊断和过度治疗，因为一部分癌症早期病灶即使不被诊断出来，也终生不产生临床症状，而诊断和治疗却会对患者造成医源性损伤，同时也会造成医疗资源的浪费。本文基于大量国内外最新文献，综述当今癌症过度医疗现状，分析其不良后果，并提出相关对策。
Screening and early diagnosis of cancer, when making undoubted and significant contribution to the survival rate and clinical outcome of the disease, may lead to overdiagnosis and overtreatment because of the fact that some early stage cancers. Even if not detected,they are not going to cause any symptoms during the pa-tients＇ lifetime. But,the diagnosis and treatment would cause iatrogenic injury and a waste of medical resources. Based on large quantities of latest literatures worldwide, this article summarizes the ocurrent situation of cancer overdiagnosis, analyzes its adverse consequences and proposes several relevant solutions.
出处
《实用肿瘤学杂志》
CAS
2012年第6期550-555,共6页
Practical Oncology Journal
基金
国家自然科学基金（81170054）
江苏省自然科学基金（BK2011570）
