中国前列腺癌的流行病学概述和启示

Epidemiology of prostate cancer in China： an overview and clinical implication

前列腺癌已经成为我国男性的常见疾病,在发达地区发病率迅速升高,在农村地区生存率较低.针对疾病的分期特点,推动前列腺癌早期诊断是改善国内前列腺癌生存率的首要步骤.我国幅员辽阔,地区经济卫生水平差异巨大,推广有选择性的前列腺癌早期诊断策略是较好的选择.因此在优化前列腺特异抗原筛查、验证推广侵袭性前列腺癌标志物两方面均应开展深入研究,除此以外,急需开展客观的前列腺癌科普和患者教育.

Prostate cancer is a currently common disease in Chinese male.The incidence is increasing rapidly in urban area and the mortality is high in rural area.According to characteristics of disease stage,advancement in early diagnosis of prostate cancer is the key to improve prostate cancer survival in China.Because of the remarkable disparity in economic and health care across China's Mainland,a selective prostate cancer screen approach may be a better alternative to spread.Therefore,indepth researches in optimization of prostate specific antigen screen and validation biomarkers of aggressive prostate cancer should be advocated.Furthermore,physicians should take a more active role in population education.