| 田 皞,唐 敏,李 灿,等.中国口腔癌筛查专家共识（2026，长沙）[J].中国肿瘤,2026,35(6):415-432. |
| 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 |
| DOI：10.11735/j.issn.1004-0242.2026.06.A001 |
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| 中文关键词: 流行病学 饮水 肝癌 危险因素 现场研究 苏德隆 |
| 英文关键词:epidemiology drinking water liver cancer risk factor field research Su Delong |
| 基金项目:2025年医院高层次人才支持经费（20250811-1001，20250731-1029）；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（2023ZJ1120）；2024年芙蓉计划省卫生健康高层次人才支持项目（20250902-1007） |
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| 中文摘要: |
| 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: |
| Abstract： 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， 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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