癌症筛查可否有效？
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“肿瘤防控的工作<span style="color: black;">必须</span>有循证医学证据的支持，<span style="color: black;">不可</span>想干什么就干什么，轰轰烈烈地干完，<span style="color: black;">倘若</span><span style="color: black;">无</span>效果，对<span style="color: black;">大众</span>对政府而言是<span style="color: black;">极重</span>的浪费。”<span style="color: black;">近期</span>，中国医学科学院北京协和医院<span style="color: black;">疾患</span>预防和<span style="color: black;">初期</span><span style="color: black;">干涉</span><span style="color: black;">科研</span>室<span style="color: black;">专家</span>代敏教授在接受记者专访时强调。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">她指出，肿瘤防控由<span style="color: black;">非常多</span>环节<span style="color: black;">构成</span>，<span style="color: black;">例如</span>说筛查，<span style="color: black;">首要</span>要确定<span style="color: black;">那些</span>人<span style="color: black;">必须</span>筛查，用什么技术筛查，筛查中<span style="color: black;">发掘</span>的癌前病变和癌症<span style="color: black;">病人</span><span style="color: black;">怎样</span>进入规范化的临床诊断和治疗，后续还有健康管理；<span style="color: black;">最后</span>，要对筛查<span style="color: black;">可否</span>有效进行科学<span style="color: black;">评定</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“每一个环节都要有<span style="color: black;">科研</span>证据的支持，<span style="color: black;">不可</span>漫<span style="color: black;">没</span>目的——今天有专家提出要<span style="color: black;">这般</span>做，于是就都<span style="color: black;">这般</span>做；明天有<span style="color: black;">另一</span>的专家说要那样做，于是又都那样做。筛查者做完筛查后，既<span style="color: black;">无</span><span style="color: black;">评定</span>，<span style="color: black;">亦</span><span style="color: black;">无</span>专家<span style="color: black;">指点</span>，这样的筛查很难收到<span style="color: black;">实质</span>效果。”代敏教授直言不讳地说。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">记者：您说过，“肿瘤的事情<span style="color: black;">不可</span>着急，<span style="color: black;">必定</span>要有近期<span style="color: black;">目的</span>和远期<span style="color: black;">目的</span>，要把近期<span style="color: black;">目的</span>和远期<span style="color: black;">目的</span>结合起来，否则<span style="color: black;">咱们</span><span style="color: black;">无</span>重点，很难达到切实的效果”。您所说的近期<span style="color: black;">目的</span>和远期<span style="color: black;">目的</span>分别指什么？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">代敏教授：我认为肿瘤防控的近期<span style="color: black;">目的</span>是降低死亡率，<span style="color: black;">加强</span><span style="color: black;">存活</span>率，远期目</p>
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