Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology

被引:1095
作者
Levin, Bernard [1 ]
Lieberman, David A. [2 ]
McFarland, Beth [3 ,4 ,15 ]
Smith, Robert A. [5 ]
Brooks, Durado [5 ]
Andrews, Kimberly S. [5 ]
Dash, Chiranjeev [6 ]
Giardiello, Francis M. [7 ]
Glick, Seth [8 ]
Levin, Theodore R. [9 ]
Pickhardt, Perry [10 ]
Rex, Douglas K. [11 ]
Thorson, Alan [12 ,13 ]
Winawer, Sidney J. [14 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA
[2] Oregon Hlth & Sci Univ, Div Gastroenterol, Portland Vet Med Ctr, Portland, OR 97201 USA
[3] Washington Univ, St Louis, MO 63130 USA
[4] St Lukes Hosp, Chesterfield, MO USA
[5] Amer Canc Soc, Canc Control Sci Dept, Atlanta, GA 30329 USA
[6] Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA
[7] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[8] Univ Penn Hlth Syst, Philadelphia, PA USA
[9] Kaiser Permanente, Walnut Creek Med Ctr, Dept Gastroenterol, Walnut Creek, CA USA
[10] Univ Wisconsin Hosp & Clin, Dept Radiol, Madison, WI 53792 USA
[11] Indiana Univ, Indianapolis, IN 46204 USA
[12] Creighton Univ, Sch Med, Sect Colon & Rectal Surg, Omaha, NE USA
[13] Univ Nebraska, Coll Med, Omaha, NE 68198 USA
[14] Mem Sloan Kettering Canc Ctr, New York, NY 10021 USA
[15] Ctr Diagnost Imaging, Chesterfield, MO USA
关键词
D O I
10.3322/CA.2007.0018
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In the United States, colorectal cancer (CRC) is the third most common cancer diagnosed among men and women and the second leading cause of death from cancer CRC largely can be prevented by the detection and removal of adenomatous polyps, and survival is significantly better when CRC is diagnosed while still localized. In 2006 to 2007, the American Cancer Society, the US Multi Society Task Force on Colorectal Cancer, and the American College of Radiology came together to develop consensus guidelines for the detection of adenomatous polyps and CRC in asymptomatic average-risk adults. In this update of each organization's guidelines, screening tests are grouped into those that primarily detect cancer early and those that can detect cancer early and also can detect adenomatous polyps, thus providing a greater potential for prevention through polypectomy. When possible, clinicians should make patients aware of the full range of screening options, but at a minimum they should be prepared to offer patients a choice between a screening test that is effective at both early cancer detection and cancer prevention through the detection and removal of polyps and a screening test that primarily is effective at early cancer detection. It is the strong opinion of these 3 organizations that colon cancer prevention should be the primary goal of screening.
引用
收藏
页码:130 / 160
页数:31
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