楊泮池：LDCT 須醫師綜合判讀

[Funghy]

http://udn.com/NEWS/HEALTH/HEA1/8834454.shtml

【聯合報╱記者楊欣潔、詹建富／台北報導】
2014.07.29 02:58 am

國衛院名譽研究員溫啟邦日前投書聯合報，指低劑量電腦斷層掃描（ＬＤＣＴ）偽陽性高，不適合大量推動作為肺癌篩檢工具；台大校長楊泮池回應，ＬＤＣＴ的結果，須由醫師綜合判讀、追蹤才能確認病灶。

過去對於早期肺癌的偵測，一直缺乏有效工具，近年來研究發現以ＬＤＣＴ做篩檢工具，可減少肺癌死亡率兩成。這項國外進行的臨床實驗，針對三百廿名肺癌高危險群進行ＬＤＣＴ，針對疑似有肺癌病灶的人組織切片，發現逾六成切片為良性。據此推估，要減少一百名肺癌病人死亡，需替三萬二千名老菸槍進行ＬＤＣＴ檢查，不但增加成本，切片追蹤的民眾可能有氣胸風險，甚至危及生命。

楊泮池表示，目前肺癌篩檢幾乎很少開胸切片，因為內視鏡手術大有進步，風險更低。

他指出，國內肺癌患者不抽菸比率較抽菸者高，若只針對抽菸族群篩檢，恐對其他族群不公平。

[image]

http://udn.com/NEWS/HEALTH/HEA1/8834454.shtml

【聯合報╱記者楊欣潔、詹建富／台北報導】
2014.07.29 02:58 am

國衛院名譽研究員溫啟邦日前投書聯合報，指低劑量電腦斷層掃描（ＬＤＣＴ）偽陽性高，不適合大量推動作為肺癌篩檢工具；台大校長楊泮池回應，ＬＤＣＴ的結果，須由醫師綜合判讀、追蹤才能確認病灶。

過去對於早期肺癌的偵測，一直缺乏有效工具，近年來研究發現以ＬＤＣＴ做篩檢工具，可減少肺癌死亡率兩成。這項國外進行的臨床實驗，針對三百廿名肺癌高危險群進行ＬＤＣＴ，針對疑似有肺癌病灶的人組織切片，發現逾六成切片為良性。據此推估，要減少一百名肺癌病人死亡，需替三萬二千名老菸槍進行ＬＤＣＴ檢查，不但增加成本，切片追蹤的民眾可能有氣胸風險，甚至危及生命。

楊泮池表示，目前肺癌篩檢幾乎很少開胸切片，因為內視鏡手術大有進步，風險更低。

他指出，國內肺癌患者不抽菸比率較抽菸者高，若只針對抽菸族群篩檢，恐對其他族群不公平。

健保有給付嗎?不會吧...

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