甲状腺癌诊治现状医学伦理学思考

The Medical Ethics Ponder of Diagnosis and Treatment of Thyroid Cancer in the Present Situation

随着经济的发展、健康意识的普及、超声技术的不断发展,甲状腺癌的发病率显著升高,新增的患者大多是对健康影响极低的甲状腺乳头状癌。正确认识,适度诊断、治疗是临床工作的重点。本文从"以人为本,尊重患者知情权,最小损伤,最大获益"医学伦理学的角度对甲状腺癌诊治领域的一些问题进行探讨,以达到技术判断与伦理判断的高度统一的医学伦理学追求,最终达到善待生命、善待患者、善待社会的目的。甲状腺癌的管理需要多学科共同完成,包括内分泌、外科、核医学、放射科、心理学、肿瘤科遗传学,从伦理学角度出发,在各学科中达到共识。

Thyroid cancer increase has been associated to socioeconomic status, better access to healthcare and rising use of thyroid imaging. Therefore, the rise could be apparent because of the useless identification of a large reservoir of subclinical papillary lesions that will never affect patient health. The correct understanding, appropriate diagnosis and fit treatment, are the key point for managing these patients successfully is the emphasis of clinical work. Some problems are discussed in the field of thyroid cancer from the point of hodegetics that people oriented, respect the right to know, the minimum damage and minimum benefit. Medical ethics is in pursuit of the highly unified judgement of technique and ethical, and reaeh the finally destination of being kind to life, patients and society. Managing thyroid cancer requires the involvement of multiple subspecialties that may include endocrinology, surgery, nuclear medicine, radiology, medical oneology, and genetic counseling.