肿瘤惰性病变与医疗干预  

The Indolent Lesions of Cancer and Its Medical Intervention

作　　者：何裕民[1] 邹晓东 HE Yu-min;ZOU Xiao-dong(School of BasicMedicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学基础医学院,上海201203 [2]中国健诺思医学研究院上海分院(分公司),上海200081

出　　处：《医学与哲学》2021年第8期9-13,57,共6页Medicine and Philosophy

基　　金：2012年国家社会科学基金重点项目(12AZD094)。

摘　　要：分析、论述了惰性病变(惰性癌)的客观及普遍存在,这在许多常见癌中比率不低。随着高敏诊断方法等的涌现,预估其趋势还会恶化,将加剧过度诊断及治疗,不仅引起恐惧心理,造成巨大心理压力,而且不当的积极检查及治疗,还将降低其后续的生存质量,防控癌的效果适得其反。为此,明确提出全社会需深化对癌的认识,不加选择地倡导“早发现、早治疗”并不合理,对惰性病变无须过度应对,倡导人人应把防癌及确保健康的主动权掌控在自己手中,并提出了一系列带有大健康意识的防范措施,且应从改变观念、普及相关知识做起。Indolent lesions(indolent cancer)are objective and widespread,which account for a large proportion of many common cancers.With the emergence of high-sensitivity diagnostic methods,the trend is liable to worsen,not only causing fear and great psychological pressure,but also deriving improper active inspections and treatments,which will lower patient's subsequent quality of life.Therefore,the author clearly states that the whole society needs to deepen the understanding of cancer.It is unreasonable to advocate"early detection and early treatment"indiscriminately.There is no need to over-respond to indolent lesions.Everyone should seize the initiative of cancer prevention and health protection.A series of preventive measures has been given with great health consciousness in it,which advocates changes of mind and knowledge popularization.

关 键 词：惰性病变 惰性癌 医学干预 过度诊断 过度治疗 

分 类 号：R-02[医药卫生]