2017年美国预防服务工作组甲状腺癌筛查推荐声明解读.pdf

710 2018 45 9  Cancer Res Prev Treat,2018,Vol.45,No.9 · · 肿瘤防治研究 年第 卷第 期 doi:10.3971/j.issn.1000-8578.2018.17.1698 · · 解读与指南 2017年美国预防服务工作组甲状腺癌筛查 推荐声明解读 1 2 1 2 3 朱涛 ，徐洁 ， 田甜 ， 牛飞 ，安常明 An Interpretation of Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement in 2017 1 2 1 2 3 ZHU Tao , XU Jie , TIAN Tian , NIU Fei , AN Changming 1. Department of Breast and Thyroid Surgery, The People’s Hospital of Jiaozuo, Jiaozuo 454000, China; 2. Department of Medical Oncology, The People’s Hospital of Jiaozuo, Jiaozuo 454000, China; 3. Department of Head and Neck Surgery, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100021, China Corresponding Author: AN Changming, E-mail: mran1979 @163.com Abstract: In the past decade, the incidence of thyroid cancer has increased faster than other cancers, but without a corresponding change in the mortality rate. Now thyroid nodules have become a common clinical problem, therefore overdiagnosis and overtreatment have increased accordingly. In 2017, US Preventive Services Task Force(USPSTF) updated the recommendation on the screening for thyroid cancer. The USPSTF recommends against screening for thyroid cancer in asymptomatic adults. The updates of the USPSTF recommendation statement are interpreted in this article. Key words: Thyroid nodules; Thyroid neoplasm; Guidebooks 10 摘  要：近 年来，甲状腺癌的发病率增长较快，高于其他肿瘤，但死亡率却没有相应改变。甲状 腺结节已成为常见的临床问题，甲状腺结节的过度诊断和过度治疗也随之增加。2017年美国预防服 务工作组（US Preventive Services Task Force, USPSTF ）发布了甲状腺癌筛查推荐声明更新。声明指 2017 USPSTF 出：反对在无症状人群中进行甲状腺癌筛查。本文对 年 甲状腺癌筛查推荐声明的更新