Glusac Earl J
Department of Pathology and Dermatology, Yale University School of Medicine, New Haven, CT 06510-3206, USA.
J Cutan Pathol. 2012 Jan;39(1):17-20. doi: 10.1111/j.1600-0560.2011.01848.x.
The rise in malignant melanoma incidence has been termed "epidemic". Closer scrutiny of epidemiologic data suggests overdiagnosis as the true cause of the dramatic rise in melanoma incidence. In epidemiologic terms, "overdiagnosis" describes lesions that are histologically malignant but biologically benign. Overdiagnosis is not unique to melanoma screening but is prevalent in screening for cancers of other organs, including the thyroid and prostate glands.
恶性黑色素瘤发病率的上升被称为“流行”。对流行病学数据的进一步审视表明,过度诊断是黑色素瘤发病率急剧上升的真正原因。从流行病学角度来看,“过度诊断”指的是那些组织学上为恶性但生物学上为良性的病变。过度诊断并非黑色素瘤筛查所特有,在包括甲状腺和前列腺在内的其他器官癌症筛查中也普遍存在。