摘要
随着检测手段的不断精确,人们对疾病的认识逐渐加深,现在可以早期检测出一些疾病,使得过度治疗成为普遍现象。有的疾病或者肿瘤并不具有快速生长、恶化及转移的风险,却被早期切除甚至辅以更加侵袭性的治疗,给人们带来精神及心理上新的伤害,如甲状腺癌、前列腺癌、早期肺癌、导管原位癌等等。本文旨在总结常见的几种惰性病变/肿瘤,尤其是上皮起源的惰性病变,对其临床病理特征、病程及预后等方面做一简要归纳,希望能给病理医生的诊断及临床医生的治疗带来一定的提示意义,避免不必要的过度诊断和治疗。
With the constant precision of detection methods and the awareness of disease,now some diseases can be detected at an early stage,of course making overtreatment a common phenomenon.Actually,some diseases or tumors do not have the risk of rapid growth,deterioration,and even metastasis,but are excised early and even supplemented with more aggressive treatments,causing mental and psychological harm to people.Such as thyroid cancer,prostate cancer,and early stages of lung cancer,ductal carcinoma in situ,and so on.This article aims to summarize some common types of inert lesions/tumors,especially epithelial-inert lesions,and summarize the clinicopathological features,the course of disease,and prognosis.We hope that this can be used to diagnose pathologists and clinicians.Avoiding unnecessary overdiagnosis and treatment.
作者
杜军
周晓军
DU Jun;ZHOU Xiao-jun(Pathology Department of the First Affiliated Hospital of USTC,Auhiu Provincial Hospital,South District,Hefei 230000,China)
出处
《医学与哲学（B）》
2018年第6期19-22,27,共5页
Medicine & Philosophy(B)
关键词
惰性病变
甲状腺癌
前列腺癌
过度诊断
过度治疗
indolent lesion of epithelial origin （IDLE）
thyroid cancer
prostate cancer
over diagnosis
over treatment
