有症状的癌症大肠癌患者:如何改善诊断途径。

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
William Hamilton, Sarah E.R. Bailey
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引用次数: 0

摘要

即使在有癌症国家筛查计划的国家,大多数癌症都是在患者出现症状后发现的。出现这些症状的患者通常会接受初级保健,或者在一些国家接受专科护理。在任何一种医疗环境中,临床医生都必须考虑癌症的可能性,然后进行分诊调查,然后进行最终调查,通常是结肠镜检查。这个看似简单的途径并不简单:与癌症相比,癌症的大多数症状更可能代表良性疾病,而这些阶段中的每一个阶段都代表着将患者选择到高风险人群中。本文总结了一种基于症状的方法来选择和初步调查初级保健中的此类患者。一些特殊群体需要特别关注,包括年轻患者、有癌症遗传易感性的患者和有合并症的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Colorectal cancer in symptomatic patients: How to improve the diagnostic pathway

Even in countries with national screening programmes for colorectal cancer, most cancers are identified after the patient has developed symptoms. The patients present these symptoms usually to primary care, or in some countries to specialist care. In either healthcare setting, the clinician has to consider cancer to be a possibility, then to perform triage investigations, followed by definitive investigation, usually by colonoscopy. This apparently simple pathway is not simple: most symptoms of colorectal cancer are more likely to represent benign disease than cancer, and each of these stages represents selection of patients into a higher-risk pool. This article summarises a symptom-based approach to selection and initial investigation of such patients in primary care. Some special groups need particular attention, including the younger patient, those with an inherited predisposition to cancer, and those with co-morbidities.

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来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
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