[前列腺癌筛查：争议的原因]

[Prostate cancer screening: Reasons of controversy].

作者信息

Delporte Gauthier, Villers Arnauld, Penel Nicolas

机构信息

CHRU de Lille, hôpital Claude-Huriez, service universitaire d'urologie, rue Michel-Polonowski, 59000 Lille, France.

Centre Oscar-Lambret, département de cancérologie générale, 3, rue Combemale, 59020 Lille cedex, France; CHRU de Lille, hôpital Claude-Huriez, service universitaire d'oncologie médicale, rue Michel-Polonowski, 59000 Lille, France.

出版信息

Bull Cancer. 2018 Dec;105(12):1111-1118. doi: 10.1016/j.bulcan.2018.09.007. Epub 2018 Nov 17.

DOI:10.1016/j.bulcan.2018.09.007

PMID:30458966

Abstract

We propose herein a short synthesis of evidence leading to deny organized screening of prostate cancer using PSA plus or minus rectal digital examination. Nevertheless, many scientific societies support opportunistic screening on basis of shared decision. Today, numerous proposals had been made to reduce the overdiagnosis and overtreatreatment.

摘要

我们在此提出一个简短的证据综述，以否定使用前列腺特异性抗原（PSA）加或不加直肠指检进行前列腺癌的有组织筛查。然而，许多科学协会支持基于共同决策的机会性筛查。如今，已经提出了许多建议以减少过度诊断和过度治疗。