基于内镜的体检人群食管癌机会性筛查规范路径专家共识

Expert Consensus on the Standardized Pathway of Opportunistic Screening for Esophageal Cancer in the Endoscopy-Based Medical Examination Population

中国食管癌高发,病理类型以鳞癌为主,但早期食管癌症状隐匿或者缺乏,诊断率低,造成巨大的疾病负担。机会性筛查是食管癌早发现、早诊断、早治疗的重要途径,是现阶段可行的早期食管癌诊疗策略。为了推进早期食管癌机会性筛查的路径规范化,现组织健康体检中心、胸外科、肿瘤内科、内镜专业、流行病学以及从事癌症筛查方面等多学科专家,针对筛查对象、流行病学调查及风险评估、筛查方法、筛查流程、随访和质量控制等几个方面进行归纳整理,规范适合体检机构的食管癌筛查路径,以期能通过本共识提高体检机构的食管癌筛查和早诊能力。

The incidence of esophageal cancer is high in China,but the symptoms of early esophageal cancer are occult or absent,so the early diagnosis rate is low,which brings heavy disease burden to the society.Opportunistic screening is an important approach for early detection,diagnosis and treatment of esophageal cancer,and is also a feasible preventive and treatment strategy at present.In order to standardize the pathway of opportunistic screening for early esophageal cancer,we invited experts in fields of health examination,thoracic surgery,oncology,endoscopy,epidemiology,as well as multi-disciplinary experts in cancer screening field to develop an expert consensus,in terms of screening subjects,epidemiological investigation and risk assessment,screening methods,screening processes,follow-up and quality control.The aim of the consensus is to standardize the screening pathways for esophageal cancer suitable for medical examination institutions to improve the efficacy of screening and early diagnosis of esophageal cancer.