------为马航MH航班默哀------
StopScaringPatients:HowEsophagealCancerEvolves
原文摘自MedscapeNews,byYaelWaknine
Weascliniciansmuststopscaringourpatients,Dr.Reidemphasized,notingthatonlyabout5%ofrefluxpatientsarediagnosedwithBarrett’sesophagusonendoscopy,andofthose,onlyaminusculeproportion(0.3%-0.7%)progresstocancereachyear.
“我们作为临床医生必须停止吓唬我们的病人，”Reid博士强调，并指出，只有约5％的反流的患者通过内镜检查，被诊断为Barrett食管，那些被诊断出的，每年只有一个极小的比例（0.3％-0.7％）发展为癌症。
Primarycaredoctorsshouldhaveafactsheettellingpatientsthatifyouhaveheartburnyourchancesofadenocarcinomaareverysmall,andthatyoucanbescreenedornotscreened,butthereisnocureforBarretts,andifyoutestpositiveyouwillbebuyingintorepeatedendoscopiesfortherestofyourlife,Dr.Reidpointedout.Thisproblemofoverdiagnosisofindolentconditionswhileunderdiagnosingfataldiseaseisabigissueinthemedicalworld,he哪里医院看白癜风较好哪里可以治好白癜风
