Hall R R
Freeman Hospital, Newcastle upon Tyne.
Ann R Coll Surg Engl. 1994 Nov;76(6):367-72.
Public awareness of prostate cancer is increasing. Growing numbers of middle-aged men are seeking screening tests for prostate cancer and advice about its surgical treatment. Contrary to the hopes of many, the benefit of early diagnosis and by radical prostatectomy remains in doubt. Recent analyses suggest that 'watchful waiting', with no immediate treatment, may be an equally effective option. If this is true, why screen? Why operate? These questions should be a cause of concern to more than 1 million British men who are unaware that they have prostate cancer and to the providers of health care who have failed to address this dilemma. A national audit and randomised clinical trial are indicated.
公众对前列腺癌的认知正在提高。越来越多的中年男性正在寻求前列腺癌筛查测试以及有关其手术治疗的建议。与许多人的期望相反，早期诊断并通过根治性前列腺切除术的益处仍存疑问。最近的分析表明，“观察等待”，即不立即进行治疗，可能是一个同样有效的选择。如果这是真的，那为什么要筛查？为什么要手术？这些问题应该引起超过100万未意识到自己患有前列腺癌的英国男性以及未能解决这一困境的医疗保健提供者的关注。有必要进行一次全国性审计和随机临床试验。
