— 健康促進與維護 · MEDIUM · MCQ —
一位 45 歲女性詢問大腸直腸癌篩檢，下列何種篩檢時程符合現行指南？
A 45-year-old female client asks about screening for colorectal cancer. Which screening schedule follows current guidelines?
- AFecal immunochemical test (FIT) every 3 years糞便免疫化學測試（FIT）每 3 年一次
- BColonoscopy every 10 years✓ 正解大腸鏡檢查每 10 年一次
- CFlexible sigmoidoscopy every 2 years乙狀結腸鏡檢查每 2 年一次
- DStool DNA test every 5 years糞便 DNA 檢測每 5 年一次
— Explanation · 中文詳解 —
根據美國癌症學會與相關指南，大腸鏡檢查是診斷與預防的金標準，若結果正常，建議每 10 年檢查一次。糞便免疫化學檢查（FIT）通常為每年一次，Stool DNA 則是每 1-3 年，篩檢間隔應根據風險等級與具體檢測項目調整。
Colonoscopy is the gold standard for colorectal cancer screening and is recommended every 10 years for average-risk individuals with normal results. Other methods have different intervals; for instance, fecal immunochemical testing (FIT) is typically performed annually, while stool DNA tests are recommended every one to three years based on specific guidelines.
✦ 台美臨床差異
美國建議 45 歲開始篩檢；台灣國民健康署提供 50-74 歲民眾每兩年一次免費定量免疫法糞便潛血檢查。