Chan Pak Wo Webber, Ngu Jing Hieng, Poh Zhongxian, Soetikno Roy
Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
Duke-NUS Medical School, Singapore.
Singapore Med J. 2017 Jan;58(1):24-28. doi: 10.11622/smedj.2017004.
Colorectal cancer, which is the leading cancer in Singapore, can be prevented by increased use of screening and polypectomy. A range of screening strategies such as stool-based tests, flexible sigmoidoscopy, colonoscopy and computed tomography colonography are available, each with different strengths and limitations. Primary care physicians should discuss appropriate screening modalities with their patients, tailored to their individual needs. Physicians, patients and the government should work in partnership to improve uptake of colorectal cancer screening to reduce the morbidity and mortality from colorectal cancer.
结直肠癌是新加坡最主要的癌症，增加筛查和息肉切除术的使用可预防该病。有一系列筛查策略可供选择，如粪便检测、乙状结肠镜检查、结肠镜检查和计算机断层结肠成像，每种方法都有不同的优缺点。初级保健医生应根据患者的个体需求，与他们讨论合适的筛查方式。医生、患者和政府应携手合作，提高结直肠癌筛查的接受率，以降低结直肠癌的发病率和死亡率。
