亚太地区大肠癌筛查共识会议.ppt

Asia Pacific Consensus Meeting on Colorectal Cancer Screening亞太地區大腸癌篩查共識會議  Consensus Statements 聲明共識 Voting Participants投票者 50 Participants eligible for the 2nd and 3rd voting: 第二輪和第三輪合資格投票人數: 10 Number of participants abstained from voting (including those who won’t participate in the 2nd and/or 3rd round): 棄權人數（包括不參加第二輪和/或第三輪投票者）: 50 Number of votes received for the 1st round : 第一輪得票數: 60 Total number of eligible voting participants: 總合資格投票人數 : Epidemiology – Statement 1流行病學—聲明1 Colorectal Cancer (CRC) is one of the most common cancers in Asia in both males and females. 大腸癌是亞洲男、女性最常患的癌症之一。 Level: II-3, A Epidemiology – Statement 2流行病學—聲明2 The incidence of CRC is similar to that of the West. 大腸癌發病率與西方國家的發病率相似。 Level: II-3, B Epidemiology – Statement 3流行病學—聲明3 The incidence of advanced neoplasm in symptomatic and asymptomatic Asian is comparable to the West. 亞洲患者中有症狀和無症狀的晚期腫瘤發病率與西方國家相似。 Level: II-2, B Epidemiology – Statement 4流行病學—聲明 4 While the death rate of CRC is declining in the West, Asia continues to show rising mortality. 雖然西方國家的大腸癌死亡率呈下降趨勢，亞洲國家的大腸癌死亡率仍持續攀升。 Level: III, C Epidemiology – Statement 5流行病學—聲明 5 There are some ethnic groups (e.g. Japanese, Korean and Chinese) in Asia who are more susceptible to CRC. 亞洲某些人種（例如：日本、韓國和中國），較其他人更易患大腸癌。 Level: II-2, B Polyps – Statement 6息肉—聲明6 Distribution of polyps between Asian and Caucasians are similar. 亞洲人和白種人的息肉分佈情況相似。 Level: II-2, B Polyps – Statement 7息肉—聲明7 There is a trend towards proximal migration of polyps in the colon in Asian subjects. 在亞洲患者中，大腸息肉的近端遷移呈上升趨勢。 Level: III, C Polyps – Statement 8息肉—聲明8 Non-polypoid adenoma is not uncommon among Asians. 非息肉樣腺瘤在亞洲並非罕見疾病 。 Level: II-2, A Polyps – Statement 9息肉—聲明9 Certain types of hyperplastic polyps are associated with an increased risk of cancer. 某些特定增生性息肉患者大腸癌的發病風險較高。 Level: II-3, A Polyps – Statement 10息肉—聲明10 Polyp 5-9mm in size should be removed. 5-9毫米的息肉應切除。 Level: III, C Screening Test – Statement 11篩查—聲明11 FOBT (guaiac-bas