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前列腺癌风险随年龄增长升高,专家建议50岁以上男性定期筛查
Bei Ke Cai Jing· 2025-08-26 12:33
Core Insights - Prostate cancer is the most common newly diagnosed cancer among male urogenital tumors in China, with an annual incidence of 134,200 cases, and both incidence and mortality rates are increasing year by year [2] Group 1: Disease Overview - Prostate cancer poses a significant threat to the physical and mental health of middle-aged and elderly men, with the risk of developing the disease increasing with age [2][3] - Regular PSA (Prostate-Specific Antigen) screening is recommended for men over 50, and for those with a family history of prostate cancer, screening should begin at 45 [2][3] Group 2: Treatment and Prognosis - The early detection of prostate cancer through standardized PSA screening has led to a higher rate of clinical cures among early-stage patients, although over 30% of patients are diagnosed with distant metastasis at the time of diagnosis, resulting in poor overall prognosis [2] - New endocrine therapies and targeted drugs are emerging, significantly improving patient survival rates and quality of life [2][3] Group 3: Monitoring and Quality of Life - In the evaluation of advanced prostate cancer treatment, a rapid and deep decline in PSA levels is a key indicator of good prognosis [3] - Patients receiving new endocrine treatments who achieve a PSA level below 0.2 ng/mL within three months have significantly better progression-free survival and overall survival compared to those with insufficient PSA decline [3] - Effective treatment and care can lead to improved quality of life for advanced prostate cancer patients, supported by family, medical staff, and societal support [3]
前列腺癌早筛是关键 专家:把握50-75岁黄金窗口期
Zhong Guo Xin Wen Wang· 2025-08-02 01:50
Core Insights - The incidence of prostate cancer in China is rapidly increasing, posing a significant threat to men's health [1] - Early detection through scientific screening and standardized treatment can lead to long-term high-quality survival for patients [1][2] Group 1: Screening and Diagnosis - Prostate cancer early symptoms are often subtle and similar to benign conditions, making standardized screening crucial [1] - PSA (Prostate-Specific Antigen) testing is currently the most effective screening method [1] - The optimal screening age is between 50 to 75 years, with those having a family history advised to start screening at 45 [1] Group 2: Treatment Advances - Recent advancements in treatment methods for prostate cancer have significantly improved patient outcomes [1] - New endocrine therapy drugs have extended the median overall survival for metastatic hormone-sensitive prostate cancer patients to over 8 years, surpassing traditional medications [1] - The application of targeted and radionuclide therapies further benefits survival for late-stage patients [1] Group 3: Quality of Life and Rehabilitation - Prostate cancer treatment should focus not only on extending survival but also on enhancing the quality of life [2] - Post-surgery rehabilitation, particularly pelvic floor muscle training, is crucial for improving urinary incontinence issues [2] - A multidisciplinary approach to managing bone metastasis has shown significant effectiveness in alleviating pain and preventing fractures [2] Group 4: Public Awareness and Prevention - Prostate cancer is transitioning from a high-mortality tumor to a manageable chronic disease through scientific screening and comprehensive management [2] - There is a need for increased public awareness regarding cancer prevention and the importance of proactive screening [2]