• 摘要: 恶性肿瘤(或称癌症)是影响居民健康的重大公共卫生问题,造成严重的全球疾病负担。早期筛查能够大幅度提高癌症的早诊早治率,提升癌症生存率。然而,当前癌症筛查指南均只关注单一癌症类型。通过科学合理的常见癌症联合筛查,不仅能优化利用生物样本资源,提高受检者依从性,节省时间成本,增强癌症筛查的全面性和有效性,还能有效降低筛查成本、合理配置医疗资源,减少癌症综合疾病负担。《中国常见癌症联合筛查专家共识》由中国抗癌协会肿瘤流行病学专业委员会发起,组织多学科专家,整合多种常见癌症筛查与早诊早治领域的国内外研究进展,同时考虑中国国情和癌症筛查的实际经验,依据世界卫生组织推荐的指南制定原则和方法完成证据评估。本共识针对常见癌症联合筛查过程中的筛查人群、技术、流程等给出了基于证据的推荐,旨在提升常见癌症联合筛查与早诊早治效果,为中国的癌症防控提供科学依据。

     

    Abstract: Malignant tumors (commonly referred to as cancers) represent a major global public health challenge and contribute substantially to the global disease burden. Early screening plays a crucial role in improving detection rates, enabling timely intervention, and enhancing patient survival. However, current cancer screening guidelines primarily focus on site-specific screening, which may not fully address the need for comprehensive early detection. A scientifically rational, multi-cancer screening approach offers several advantages: it optimizes the use of biological samples, reduces the time burden for participants, enhances the efficiency and comprehensiveness of screening, and minimizes overall expenses. Moreover, this approach facilitates rational allocation of healthcare resources, ultimately helping to reduce the societal burden of cancer. To address gap, the Cancer Epidemiology Committee of the China Anti-Cancer Association has developed the Expert Consensus on Combined Screening for Common Cancers. This consensus integrates multidisciplinary expertise and synthesizes the latest domestic and international researches on cancer screening, early detection, and treatment of prevalent malignancies. Drawing upon China’s unique demographic and healthcare context and practical screening experiences, the consensus provides evidence-based recommendations on target populations, screening technologies, and procedural workflows for multi-cancer screening. These guidelines align with the principles and methodologies established by the World Health Organization (WHO), aiming to enhance the effectiveness of combined cancer screening in China, improve early detection rates, and provide a scientific foundation for national cancer prevention and control strategies.

     

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