肿瘤筛查指南荟萃（上）

检验之星

编者按：

肿瘤筛查，是液态活检将来非常有吸引力和竞争力的一个发展方向。笔者认为，液态活检并不能孤立地，或一枝独秀地解决肿瘤筛查、诊断的问题，即使是对特定的某一种肿瘤。充分地与现有肿瘤筛查指南结合，取长补短，协同作用，发挥"1+1>2"的效应，才是有希望的发展方向。因此，我特地整理了较权威的各类肿瘤筛查指南，为日后结合液态活检技术，建立一个更加完美的肿瘤筛查体系提供一个基本框架。

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注：指南括号后显示的是最新版本标记。指南全文可从指南发布机构网站获取，或“医脉通”网站。指南主要来源于美国和欧洲相关机构。国内采用指南为收集。

乳腺癌筛查指南

• American Cancer Society （ACS）
  
  

Breast Cancer Screening Guidelines (2003)

Guidelines for Breast Screening with MRI as an Adjunct to Mammography (2007)

• National Comprehensive Cancer Network （NCCN）
  
  

Breast Cancer Risk Reduction （2015. v2）

Breast Cancer Screening and Diagnosis （2015. v1）

Genetic/Familial High-Risk Assessment: Breast and Ovarian （2015. v2）

• European Reference Organization for Quality Assured Breast Screening and Diagnostic Services (EUREF)
  
  

European Guidelines for Quality Assurance in Breast Cancer Screening and Diagnosis (4th Edition)

• National Institute for Health and Clinical Excellence (NICE)
  
  

Suspected cancer：recognition and referral （NG12）

子宫颈癌

• National Comprehensive Cancer Network （NCCN）
  
  

Cervical Cancer Screening

• American Society for Coloposcopy and Cervical Pathology (ASCCP)
  
  

2012 Updated Consensus Guidelines for the Management of Abnormal Cervical Cancer Screening Tests and Cancer Precursors （2012）

• International Agency for Research on Cancer (IARC)
  
  

European Guidelines for Quality Assurance in Cervical Cancer Screening (2nd Edition)

• National Institute for Health and Clinical Excellence (NICE)
  
  

Suspected cancer：recognition and referral （NG12）

肠癌

• National Comprehensive Cancer Network （NCCN）
  
  

Colorectal Cancer Screening （2015. v1）

Genetic/Familial High-Risk Assessment: Colorectal （2015. v1）

• U.S. Preventive Services Task Force (USPSTF）
  
  

Screening for Colorectal Cancer: USPSTF Recommendation Statement (October 2008)

• International Agency for Research on Cancer (IARC)
  
  

European Guidelines for Quality Assurance in Colorectal Cancer Screening and Diagnosis (1st Edition)

• National Institute for Health and Clinical Excellence (NICE)
  
  

Suspected cancer：recognition and referral （NG12）

前列腺癌

• National Comprehensive Cancer Network （NCCN）
  
  

Prostate Cancer Early Detection (2015. v2）

• American Urological Association （AUA）
  
  

Early Detection of prostate cancer: AUA Guideline (2013)

• European Urological Association （EUA）
  
  

EAU guidelines on prostate cancer (2015)

• National Institute for Health and Clinical Excellence (NICE)
  
  

Suspected cancer：recognition and referral （NG12）

来源：液态活检