— 健康促進與維護 · EASY · MCQ —
一位 45 歲個案諮詢護理師關於糞便免疫化學檢測 (FIT) 進行大腸癌篩檢的建議頻率。下列何者回應最為適當？
A 45-year-old client asks the nurse about the recommended frequency for colorectal cancer screening using a fecal immunochemical test (FIT). Which response is most appropriate?
- AOnce every five years每五年一次
- BOnce every year✓ 正解每年一次
- COnce every three years每三年一次
- DOnce every ten years每十年一次
— Explanation · 中文詳解 —
根據美國癌症學會與相關指引，針對大腸直腸癌篩檢，若選擇非侵入性的糞便免疫化學檢測 (FIT)，建議頻率為每年一次。若檢測結果異常，需進一步進行大腸鏡檢查以確診。其他選項頻率過長，無法達到有效的早期偵測目的。
For average-risk individuals, the fecal immunochemical test (FIT) is recommended annually to effectively detect early signs of colorectal cancer. Longer intervals reduce the test's sensitivity for early detection, making annual screening the standard of care.
✦ 台美臨床差異
美國將大腸癌篩檢下修至 45 歲；台灣目前國健署補助 50-74 歲民眾兩年一次糞便潛血檢查。