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甲状腺癌的过度诊断不应被过度解读。

[The overdiagnosis of thyroid cancer should not be overinterpreted].

作者信息

Wu Y

机构信息

Department of Head and Neck Surgery, Fujian Medical University Affiliated Tumor Clinical Medical College, Fujian Cancer Hospital,Fuzhou 350014, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2024 May 14;104(18):1561-1565. doi: 10.3760/cma.j.cn112137-20231025-00889.

Abstract

Recently, the topic of "overdiagnosis" of thyroid cancer has once again sparked controversy in the medical academic community, as well as extensive discussions from patients and the general population. To some extent, the overdiagnosis of thyroid cancer has been over interpreted. This article provides a detailed discussion on how to correctly understand the overdiagnosis of thyroid cancer from the perspective of a thyroid surgeon. The author believes that there are two elements to the occurrence of overdiagnosis of thyroid cancer: the presence of a large "silent pool" of inert tumors in the human body and medical methods to improve detection rates. In recent years, thyroid cancer has become the fastest growing malignant tumor in the world in terms of incidence rate. The exponential growth mode makes thyroid cancer over diagnosed and inevitably becomes a hot topic in academia. However, the overdiagnosis of thyroid cancer is not contradictory to the early screening and diagnosis of thyroid cancer. The overdiagnosis of thyroid cancer should be viewed scientifically and rationally, especially avoiding overinterpretation.

摘要

最近,甲状腺癌“过度诊断”的话题再次在医学学术界引发争议,也引起了患者和公众的广泛讨论。在某种程度上,甲状腺癌的过度诊断被过度解读了。本文从甲状腺外科医生的角度详细探讨了如何正确理解甲状腺癌的过度诊断。作者认为,甲状腺癌过度诊断的发生有两个因素:人体内存在大量惰性肿瘤的“沉默池”以及提高检测率的医学方法。近年来,就发病率而言,甲状腺癌已成为全球增长最快的恶性肿瘤。这种指数增长模式使得甲状腺癌被过度诊断,不可避免地成为学术界的热门话题。然而,甲状腺癌的过度诊断与甲状腺癌的早期筛查和诊断并不矛盾。应该科学、理性地看待甲状腺癌的过度诊断,尤其要避免过度解读。

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