— 健康促進與維護 · MEDIUM · MCQ —
一位 45 歲男性諮詢大腸癌篩檢。對於一般風險者，目前正確指引為何？
A 45-year-old male asks about colon cancer screening. Which is the correct current guideline for an average-risk person?
- AStart screening at age 5050 歲時開始篩檢
- BStart screening at age 6060 歲時開始篩檢
- CScreening is not recommended before age 7070 歲之前不建議篩檢
- DStart screening at age 45✓ 正解45 歲時開始篩檢
— Explanation · 中文詳解 —
近年來大腸癌的流行病學顯示，早發性大腸癌（Early-onset colorectal cancer）的發生率在 45-50 歲族群有上升趨勢。因此，美國癌症協會（ACS）及相關機構已將篩檢起始年齡下調至 45 歲。護理師應協助民眾了解此最新指引，特別是針對無症狀的一般風險族群，及早篩檢能顯著提升預後。
Current guidelines recommend starting colorectal cancer screening at age 45 for average-risk individuals due to a rising incidence of early-onset disease. This update reflects epidemiological trends and aims to detect lesions earlier than previous recommendations of starting at age 50.
✦ 台美臨床差異
美國指引已將年齡降至 45 歲，台灣目前健保給付仍維持在 50 歲。赴美護理師需特別注意此類指引更新的差異。