【干货铺】肿瘤筛查指南荟萃（中）

检验之星

编者按：

这一期，我们可以看到很多肿瘤其实还没有行之有效的肿瘤筛查指南。这一方面是种挑战，说明难度很高；但另一方面更是“液态活检”这种新技术一种机遇，因为在空白的纸上画出一幅绚丽的图画，显然比在大师的巨作上添枝加叶更容易获得关注。加油吧，LB君！！！

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胰腺癌筛查指南

• U.S. Preventive Services Task Force (USPSTF）
  
  

The USPSTF found no evidence that screening for pancreatic cancer is effective in reducing mortality. There is a potential for significant harm due to the very low prevalence of pancreatic cancer, limited accuracy of available screening tests, the invasive nature of diagnostic tests, and the poor outcomes of treatment. As a result, the USPSTF concluded that the harms of screening for pancreatic cancer exceed any potential benefits.

• International Cancer of the Pancreas Screening (CAPS) Consortium
  
  

International Cancer of the Pancreas Screening (CAPS) Consortium summit on the management of patients with increased risk for familial pancreatic cancer. Gut. 2013;62:339–347.

卵巢癌筛查指南

• National Comprehensive Cancer Network （NCCN）
  
  

Genetic/Familial High-Risk Assessment: Breast and Ovarian (2015. v2）

• U.S. Preventive Services Task Force (USPSTF）
  
  

The USPSTF recommends against screening for ovarian cancer in women. This recommendation applies to asymptomatic women. Women with known genetic mutations that increase their risk for ovarian cancer (for example, BRCA mutations) are not included in this recommendation.The USPSTF found no evidence that screening for pancreatic cancer is effective in reducing mortality.

膀胱癌筛查指南

• U.S. Preventive Services Task Force (USPSTF）
  
  

The USPSTF concludes the current evidence is insufficient to assess the balance of benefits and harms of screening for bladder cancer in symptomatic adults.

• The World Health Organization (WHO) & International Consultation on Urological Disease (ICUD)
  
  

Molecular Markers for Bladder Cancer Screening, Early Diagnosis, and Surveillance: The WHO/ICUD Consensus (2014)

胃癌筛查指南

• European Society of Gastrointestinal Endoscopy (ESGE)
  
  

Dinis-Ribeiro M, Areia M, de Vries AC, Marcos-Pinto R at el. Management of precancerous conditions and lesions in the stomach (MAPS): guideline from the European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter Study Group (EHSG), European Society of Pathology (ESP), and the Sociedade Portuguesa de Endoscopia Digestiva (SPED). Endoscopy. 2012 Jan. 44(1):74-94.

• American Society of Gastrointestinal Endoscopy (ESGE)
  
  

The role of endoscopy in the management of premalignant and malignant of the stomach. Gastrointest Endosc. 2015 Apr 29

• National Cancer Center, Japan
  
  

The Japanese guidelines for gastric cancer screening. Jpn J Clin Oncol. 2008 Apr;38(4):259-67.

来源：液态活检