中国口腔癌筛查专家共识(2026,长沙)
Chinese Expert Consensus on Oral Cancer Screening (2026, Changsha)
投稿时间:2026-04-30  修订日期:2026-05-17
DOI:
中文关键词:  口腔癌  筛查  早期诊断  危险因素  专家共识
英文关键词:Oral cancer  Screening  Early diagnosis  Risk factors  Expert consensus
基金项目:2025年医院高层次人才支持经费(20250811-1001);湖南省卫生健康高层次人才重大科研专项(R2023117);湖南省重大科技攻关“揭榜挂帅”项目资助(2023ZJ1120)
作者单位邮编
唐敏 湖南省癌症防治中心/湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院 410000
颜仕鹏* 湖南省癌症防治中心/湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院 410003
田皞 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院 410000
李灿 湖南省癌症防治中心/湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院 410003
张森茂 湖南省癌症防治中心/湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院 410003
李安琪 湖南省癌症防治中心/湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院 410000
刘彦 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院 410003
陈梦施 中南大学湘雅公共卫生学院 410003
杜灵彬 浙江省肿瘤医院(浙江省癌症中心) 310022
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中文摘要:
      口腔癌已成为我国重要的公共卫生问题,其发生与特定理化致癌因素的长期累积暴露密切相关。当前,由于公众早期防范意识薄弱及规范化筛查体系的缺失,大量患者初诊时已属中晚期,整体预后较差。为推动我国口腔癌早诊早治工作的同质化与规范化,降低疾病特异性死亡率,湖南省癌症防治中心(湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院)牵头联合国内多学科专家,基于GRADE分级系统与改良德尔菲法制定本共识。本共识明确了基于危险因素量化评估的高危人群定义,构建了风险分层的筛查起始年龄与频率策略,规范了常规口腔检查与辅助技术的操作标准,并建立了阳性病变转诊与随访的闭环管理路径。本共识旨在为各级医疗机构及公共卫生部门提供科学的口腔癌筛查实践指导。
英文摘要:
      Oral cancer has become a major public health issue in China. Its development is closely associated with long-term cumulative exposure to specific physicochemical carcinogens. Currently, due to insufficient public awareness of early prevention and the lack of standardized screening protocols, a large proportion of patients are already at advanced stages at initial diagnosis, resulting in poor overall prognosis. To promote the homogenization and standardization of early diagnosis and treatment of oral cancer in China and to reduce disease?specific mortality, the Hunan Cancer Prevention and Control Center (Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University), together with a multidisciplinary panel of national experts, developed this consensus based on the GRADE system and the modified Delphi method. This consensus explicitly defines high?risk populations via quantitative assessment of risk factors, establishes risk?stratified strategies for screening initiation age and frequency, standardizes the operational criteria for conventional oral examination and adjunctive technologies, and provides a closed?loop management pathway for the referral and follow?up of positive lesions. This consensus aims to provide scientific and practical guidance for oral cancer screening to medical institutions and public health departments at all levels
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