Martinez Steve R, Young Shawn E, Hoedema Rebecca E, Foshag Leland J, Bilchik Anton J
Division of Surgical Oncology, John Wayne Cancer Institute, 2200 Santa Monica Boulevard, Santa Monica, California 90404, USA.
Ann Surg Oncol. 2006 Jun;13(6):768-75. doi: 10.1245/ASO.2006.03.087. Epub 2006 Apr 12.
Its prevalence, long premalignant course, and favorable response to early intervention make colorectal cancer an ideal target for screening regimens. The success of these regimens depends on accurate assessment of risk factors, patient compliance with scheduled visits and tests, and physician knowledge of screening strategies. We review the current recommendations for colorectal cancer screening in general and at-risk populations, comment on surveillance methods in high-risk patients, and examine current trends that will likely influence screening regimens in the future.
其高发病率、较长的癌前病程以及对早期干预的良好反应,使结直肠癌成为筛查方案的理想目标。这些方案的成功取决于对风险因素的准确评估、患者对定期就诊和检查的依从性,以及医生对筛查策略的了解。我们综述了一般人群和高危人群结直肠癌筛查的当前建议,评论高危患者的监测方法,并探讨可能影响未来筛查方案的当前趋势。