Heiken J P
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Cancer Imaging. 2006 Oct 31;6(Spec No A):S13-21. doi: 10.1102/1470-7330.2006.9026.
Colorectal cancer screening reduces mortality in individuals 50 years and older. Each of the screening tests currently available has advantages and limitations, and there is no consensus as to which test or combination of tests is best. What is clear, however, is that the rates of colorectal cancer screening remain low. This review summarizes the clinical evidence supporting colorectal cancer screening in the average risk population and in high risk groups, discusses the advantages and disadvantages of the available screening tests, outlines the currently recommended guidelines for screening based on risk category, and discusses new and emerging technologies for colorectal cancer screening.
结直肠癌筛查可降低50岁及以上人群的死亡率。目前可用的每种筛查测试都有其优点和局限性,对于哪种测试或测试组合是最佳的,尚无共识。然而,很明显的是,结直肠癌筛查率仍然很低。本综述总结了支持在平均风险人群和高风险组中进行结直肠癌筛查的临床证据,讨论了可用筛查测试的优缺点,概述了目前根据风险类别推荐的筛查指南,并讨论了结直肠癌筛查的新技术和新兴技术。