Chang Ming-Chu, Wong Jau-Min, Chang Yu-Ting
Ming-Chu Chang, Jau-Min Wong, Yu-Ting Chang, Department of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei 101, Taiwan.
World J Gastroenterol. 2014 Mar 7;20(9):2358-64. doi: 10.3748/wjg.v20.i9.2358.
Pancreatic cancer is a serious growing health issue in developed countries. For patients diagnosed with pancreatic cancer, the five year survival rate is below 5%. One major important reason leads to the poor survival rate is lack of early detection of pancreatic cancer. Over 80% of the patients are diagnosed in advanced disease stages. Screening for pancreatic cancer is a desirable option for high risk individuals to allow early detection and treatment of curable pancreatic neoplasms at a pre-invasive stage. This article highlights the need, endpoint, population, method, diagnostic yield, and the problems of current screening programs.
胰腺癌在发达国家是一个日益严重的健康问题。对于被诊断出患有胰腺癌的患者,其五年生存率低于5%。导致生存率低的一个主要重要原因是缺乏对胰腺癌的早期检测。超过80%的患者在疾病晚期才被诊断出来。对高危个体进行胰腺癌筛查是一个理想的选择,以便在癌前阶段早期发现并治疗可治愈的胰腺肿瘤。本文重点介绍了当前筛查项目的必要性、终点、人群、方法、诊断率以及存在的问题。