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頁籤選單縮合
題名 | 血清前列腺特定抗原檢驗在偵察早期前列腺癌的考量=Accurate Use of Serum Prostate Specific Antigen in Detection of Early Prostate Cancer |
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作者 | 李燕鳴; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 7:4 2012.11[民101.11] |
頁次 | 頁209-216 |
分類號 | 417.8256 |
關鍵詞 | 癌症; 健康檢查; 前列腺特定抗原; Cancer; Medical check up; Prostate specific antigen; |
語文 | 中文(Chinese) |
中文摘要 | 前列腺癌是老年期常見進展緩慢的惡性腫瘤,在症狀期篩檢可能發生「過度診斷」或「過度治療」;追蹤異常檢驗進行切片檢查,也可能導致感染、出血或性功能異常,或產生不必要的心理壓力,嚴重影響個人或家庭的生活品質,故現時對檢驗血清前列腺特定抗原總量(total prostate specific antigen)篩檢癌症仍有爭議。在2012年5月「美國預防醫學工作小組」(U.S. Preventive Task Force)對該項檢驗的建議界定為“D級”,也就是「反對」這項篩檢,其他國外專家團體建議應諮詢相關專業醫師,受檢者需充份瞭解這項檢查可能造成的利益及風險,而基層醫療提供該項服務時也應個別化考量。 |
英文摘要 | Prostate cancer is a common cancer of old men. Blood test of prostate specific antigen (PSA) is currently also used at early cancer detection, but the appropiateness of the screening test is controverisal. Since most prostate cancers are slow growing or clinically insignificant, over-detection and over-treatment needed to be concerns. Biopsy after abnormal blood test might cause infection, bleeding or sexual dysfunction or psychological distress. All might be very stressful for individual or his family. Experts from western countries generally emphasis that client or patient should thoroughly understand the possible benefits and expected harms before a test is ordered. The update recommendation from the U.S. Preventive Task Force is ”D”, against regular PSA testing for early detection of prostate cancer. Primary health physicians should be more prudently at preventive health service. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。