低危甲状腺癌主动监测策略的意义、阻碍及进展  

The significance,challenges,and advancements in active surveillance strategies for low-risk thyroid cancer

作　　者：高明 郝洁[1] GAO Ming;HAO Jie(Department of Breast and Thyroid Surgery,Tianjin Union Medical Center,the First Affiliated Hospital of Nankai University,Tianjin 300121,China)

机构地区：[1]天津市人民医院/南开大学第一附属医院乳腺甲状腺外科,天津300121

出　　处：《现代肿瘤医学》2025年第6期889-892,共4页Journal of Modern Oncology

摘　　要：近年来,甲状腺癌发病率攀升,引发“过度诊疗”争议。针对占比高的低危甲状腺癌,立即手术治疗不符合目前肿瘤分层治疗导向,主动监测治疗策略应运而生。然而,国内推广低危甲状腺癌主动监测治疗面临精准诊断局限性、操作流程标准性不健全、管理体系待提升等问题。为推动其在我国的发展,建议加快先进技术研发落地提升诊断精度,推动原创临床研究开展标准化主动监测实施,加强政策理念引导规范管理体系,最终将新质生产力引入学科。In recent years,the incidence of thyroid cancer has exhibited a notable upward trend,fueling discussions surrounding"overdiagnosis and overtreatment".For low-risk thyroid cancer,which accounts for a substantial proportion of cases,immediate surgical intervention is increasingly viewed as inconsistent with contemporary tumor stratification treatment guidelines.As a result,an active surveillance strategy has emerged as a promising alternative.However,the promotion of active surveillance for low-risk thyroid cancer in China encounters challenges such as limitations in precise diagnosis,inadequate standardization of operational procedures,and deficiencies in management systems.To facilitate its development in China,it is imperative to accelerate the implementation of advanced technology research and development to enhance diagnostic accuracy,promote the standardization of original clinical research on active surveillance,and strengthen policy guidance and improvements in management systems,and ultimately introduce new qualitative productivity into the discipline.

关 键 词：低危甲状腺癌 主动监测 分层治疗 精准诊断 

分 类 号：R736.1[医药卫生—肿瘤]