IMPACT OF DELAY IN DIAGNOSIS ON CLINICAL STAGE OF TESTICULAR CANCER
IMPACT OF DELAY IN DIAGNOSIS ON CLINICAL STAGE OF TESTICULAR CANCER
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延迟诊断对睾丸癌临床阶段的影响
DOI：
10.1016/s0140-6736(81)91165-x
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
B. Kennedy
中科院分区：
文献类型：
--
作者：
G. Bosl;A. Goldman;P. Lange;N. Vogelzang;E. Fraley;S. Levitt;B. Kennedy
在335例生殖细胞睾丸癌患者中，87.5%的患者有睾丸相关症状。只有40%的患者在两周内看过医生。同样，超过90%的患者存在睾丸体征，但只有61%的患者在初次就诊后2周内得到正确诊断。患者相关和医生相关延迟的长度与诊断时癌症的临床分期直接相关。I期患者加医生延迟的中位数为75天，II期为101天，III期为134天（p= 0.017）。需要对公众和医生进行教育，以减少睾丸癌诊断的延误。
Of 335 patients with germ-cell testicular cancer, 87·5% of the patients had symptoms related to the testis. Only 40% of the patients saw a physician within 2 weeks. Similarly, testicular signs were present in more than 90% of patients, but in only 61% of patients was a correct diagnosis made within 2 weeks of the initial physician visit. The length of the patient-related and physician-related delay was directly related to the clinical stage of the cancer at diagnosis. The median patient-plus-physician delay for stage I was 75 days, for stage II, 101 days, and for stage III, 134 days (p=0·017). Education programmes for the public and for physicians are needed to reduce delay in diagnosing testicular cancer.