“Some do go on to treatment eventually, but the majority do not die of prostate cancer,” Dr. Eastham said. About 2 percent do die from the disease, he added. And he said that even with the best possible active surveillance, some patients will still be overtreated.
“一部分人最后还是去治疗了,但大多数人都没有因前列腺癌而死。”伊斯特汉博士说,大约2%的人死于这种疾病。他还说,即使在最好的主动监测之下,仍然会有一些患者被过度治疗。
Dr. Penson said that when active surveillance is explained, “of course men look and say, ‘That would be great if I can avoid having surgery or radiation.’ ”
彭森博士说,在向人们解释主动监测时,“他们当然会说:‘要是能避免手术和放疗,那感情敢情好。’ ”
“ ‘If you think this cancer is not a problem, Doc, I’ll take that every day and Sunday.’ It’s not hard to convince patients,” Dr. Penson added.
“他们会说:‘如果医生你觉得这处癌症没什么大不了的,我愿意天天监测。’所以要说服患者并不难。”彭森博士补充道。
Dr. Eastham and Dr. Penson said there had been two extremes in testing, neither satisfactory. First, doctors screened all men over 50 with PSA tests and operated on all cancers. But now they may be heading toward the other extreme of not screening anybody.
伊斯特汉博士和彭森博士表示,对待PSA检测出现过两个极端态度,它们都不尽如人意。早先是医生对所有50岁以上的男性都进行筛查,并对所有癌症都予以手术治疗。而今却又可能会走向对任何人都不筛查的另一个极端。
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