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前列腺筛查的争议。

The controversy of prostate screening.

作者信息

McDougall G J, Weber B A, Dziuk T W, Heneghan R

机构信息

University of Texas, Austin's School of Nursing, USA.

出版信息

Geriatr Nurs. 2000 Sep-Oct;21(5):245-8; quiz 249. doi: 10.1067/mgn.2000.110829.

Abstract

Within the context of aging and ageism, this article evaluates current research on the benefits and risks of prostate cancer screening. Prostate cancer is a concern for many men because it often strikes in the prime of life. Prostate cancer is the most common form of cancer in American men and the second leading cause of cancer-related mortality after lung cancer. Although the disease can be cured if discovered early, it is a slow-growing malignancy that leads to an agonizing death if left untreated. Differential diagnosis often is complicated by comorbid conditions that are part of the normal aging process. Moreover, practitioners' judgment often is prejudiced by common aging misconceptions. Despite the benefits of early screening and detection, the benefits of screening initiatives remain controversial.

摘要

在老龄化和年龄歧视的背景下,本文评估了当前关于前列腺癌筛查的益处和风险的研究。前列腺癌是许多男性关注的问题,因为它常常在人生盛年发病。前列腺癌是美国男性中最常见的癌症形式,也是仅次于肺癌的癌症相关死亡的第二大原因。尽管这种疾病如果早期发现可以治愈,但它是一种生长缓慢的恶性肿瘤,如果不治疗会导致痛苦的死亡。鉴别诊断常常因作为正常衰老过程一部分的合并症而变得复杂。此外,从业者的判断常常受到常见衰老误解的影响。尽管早期筛查和检测有好处,但筛查倡议的益处仍然存在争议。

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