John Anil, Al Kaabi Saad, Dweik Nazeeh, Yakoub Rafie, John Anjum, Al Mohannadi Muneera, Sharma Manik, Wani Hamid, Butt M T, Derbala M F, Rasul Kakil, Al Qahtani Durraiya, Taher Mona, Al Sada Hayam, Suleiman Jamal, Ghanem Issa, Abdulla Farida
Trop Gastroenterol. 2014 Jan-Mar;35(1):21-4. doi: 10.7869/tg.159.
Colorectal cancer (CRC) is one of the leading causes of cancer related mortality globally. Though Asia has traditionally been considered a relatively low incidence area for colorectal cancer, the incidence is reportedly increasing. The Asia Pacific Working Group for Colorectal Cancer has recommended screening of individuals at average risk starting from 50 years of age. Based on these recommendations we conducted a pilot study to assess the need and feasibility of a colorectal cancer screening program in the state of Qatar.
We screened 1385 individuals by fecal immunochemical testing for occult blood, at the primary health center level and positive cases were referred for colonoscopy. Among those who tested positive for fecal occult blood, we picked up five patients with cancers and seven with neoplastic polyps.
Our results compare with the yield of screening programs in western countries thus suggesting an emerging role for colorectal cancer screening in Asian countries.
结直肠癌（CRC）是全球癌症相关死亡的主要原因之一。尽管传统上亚洲被认为是结直肠癌发病率相对较低的地区，但据报道发病率正在上升。亚太结直肠癌工作组建议从50岁开始对平均风险个体进行筛查。基于这些建议，我们开展了一项试点研究，以评估卡塔尔国结直肠癌筛查项目的必要性和可行性。
我们在初级卫生保健中心层面通过粪便免疫化学检测潜血对1385名个体进行了筛查，阳性病例被转诊进行结肠镜检查。在粪便潜血检测呈阳性的人群中，我们发现了5例癌症患者和7例肿瘤性息肉患者。
我们的结果与西方国家筛查项目的检出率相当，因此表明结直肠癌筛查在亚洲国家正发挥着越来越重要的作用。
