Name: 英國政府遭專家委員會建議，停止大規模攝護腺癌篩檢！| BBC News (UK government advised against mass prostate cancer screening by expert committee | BBC News)
Uploaded: 2025-11-29T17:08:41.000Z
Duration: 11 min 59 s

情態副詞

Breaking news on prostate cancer, the most common cancer in men globally with 1.4 million new cases in 2022 NHS advisers here in the UK have officially announced that they have decided against routine prostate cancer screening.

關於前列腺癌的最新消息，這是全球男性最常見的癌症，2022 年有 140 萬新病例。英國國民保健署的顧問在此正式宣佈，他們已決定不進行例行前列腺癌篩檢。

The national screening committee has ruled out mass testing for all men over 50.

全國篩檢委員會已排除對所有 50 歲以上男性的大規模篩檢。

It's thought to be worried about the potential harm from mass testing outweighing the number of lives saved.

這被認為是擔心大規模篩檢的潛在危害會超過挽救的生命數量。

The the committee has also decided against even a specific screening program for black men who are at a greater risk of the disease, and

該委員會甚至也決定不為黑人男性提供特定的篩檢計畫，儘管他們罹患此病的風險較高，而且

against screening for men with a history of prostate cancer in their families.

也不為有家族前列腺癌病史的男性進行篩檢。

The only group who will be offered screening will be men with specific genetic mutations that can cause aggressive tumors.

唯一會提供篩檢的群體將是患有特定基因突變的男性，這些突變可能導致侵襲性腫瘤。

Let's go straight to our health reporter, Jim Reed.

我們直接連線我們的健康記者 Jim Reed。

他在那裡的新聞編輯室為我們報導。

Jim，所以他們拒絕了這個提議。

Are you getting word in terms of their reasoning?

你有收到關於他們理由的說法嗎？

That's interesting is now, I mean, this is such a huge deal for what, tens of thousands, if not more men in this country every year.

很有趣的是，這對這個國家來說，每年有數萬名，甚至更多男性，是個大問題。

So if you look at the statistics on prostate cancer, 55,000 men in the UK alone diagnosed every year and roughly 12,000 die.

所以如果你看看前列腺癌的統計數據，僅在英國，每年就有五萬五千名男性被診斷出來，大約有一萬兩千人死亡。

But as you said in the introduction, whereas we have kind of national screening campaign systems for other forms of cancer, lung cancer, for example, breast cancer, we do not have one for prostate cancer.

但正如你在開頭所說，雖然我們有針對其他癌症，例如肺癌、乳腺癌的全國篩檢運動系統，但我們沒有針對前列腺癌的。

And that's been the big debate at the moment, whether men should receive, you know, a letter in the post on a regular basis every year, every couple of years, asking them to come forward to their GP for tests for this disease.

這也是目前爭論的焦點，男性是否應該定期收到信件，每年或每幾年，請他們到家庭醫生那裡接受這種疾病的檢測。

嗯，這是一個非常複雜的論點。

We've had this panel of scientists that have looked at the arguments, both sides of the arguments for, for a good few, few months, couple of years on this, and

我們有一個科學家小組，他們已經審視了正反兩方的論點，對此進行了幾個月，甚至幾年的研究，

have come to that big decision today, I should say there has been a big campaign from charities representing families, people involved, people who have lived through this disease, and

並在今天做出了這個重大決定。我應該說，代表家庭、相關人士、以及經歷過這種疾病的人們的慈善機構，發起了一場大型運動，

還有一些非常知名的公眾人物。

David Cameron, the former Prime Minister of the uk, Rishi Sunak, Sir Chris Hoy, the, the Olympic gold medal cyclists have all campaigned for more testing.

前英國首相 David Cameron、Rishi Sunak、奧運金牌自行車手 Sir Chris Hoy，都曾倡導進行更多檢測。

But today the decision, as you said, has been made not to, not to set up this, this national testing campaign, at least for all men.

但正如你所說，今天的決定是，至少目前不為所有男性設立這個全國性檢測運動。

Instead, there will be, there will be a limited number, roughly 20,000 men with a certain genetic mutation that will be asked to come forward on a regular basis for, for these tests.

相反，會有，會有數量有限，大約兩萬名帶有特定基因突變的男性，會被要求定期接受這些檢測。

And the arguments against a national testing regime are that it could do, according to this report, more har.

而反對全國性檢測制度的論點是，根據這份報告，它可能會造成更多傷害。

And that's because prostate cancer is a very strange disease for some people.

這是因為前列腺癌對某些人來說是一種非常奇怪的疾病。

It can be very Aggressive for others, you might not even notice you have prostate cancer.

對其他人來說，它可能非常侵襲性，你可能根本不會注意到自己罹患前列腺癌。

You can live with it for many, many years, maybe into your 90s, even later, and

你可以帶著它活很多很多年，也許到九十幾歲，甚至更久，然後

then die of a completely different cause.

卻因為完全不同的原因而死亡。

And the argument is that some people might, therefore, if they're diagnosed with prostate cancer, go through very aggressive treatments, diagnosis, biopsies, perhaps end up in a situation where some of those side effects, for example, things like incontinence, sexual dysfunction, could have more of an impact on their life, cause more harm than the cancer itself.

論點是，有些人是以，如果他們被診斷出前列腺癌，可能會接受非常侵襲性的治療、診斷、切片，甚至可能面臨一些副作用，例如失禁、性功能障礙，這些可能對他們的生活造成更大的影響，造成的傷害比癌症本身還大。

And that's why at the moment at least, this decision has been made not to put in place this national screening for all men in the uk.

這就是為什麼目前至少，做出了不為英國所有男性實施全國性篩檢的決定。

We'll be back to you a little later on in the program.

Jim, mentioning just some of the high profile names that have campaigned, we had to David Cameron, we had Rishi Sunak and he was mentioning there Sir Chris Hoye, he has just released a statement.

Jim，提到一些曾為此倡導的名人，我們有 David Cameron、Rishi Sunak，他還提到了 Sir Chris Hoy，他剛發布了一份聲明。

I am extremely disappointed and saddened by the recommendation announced by the national screening committee today to rule out against a national screening for men at high risk of prostate cancer.

我對全國篩檢委員會今天宣佈不建議對前列腺癌高風險男性進行全國篩檢的建議，感到非常失望和難過。

And he goes on to say, I know firsthand that by sharing my story following my own diagnosis two years ago, many, many lives have been saved.

他接著說，我親身經歷，在兩年前我被診斷出前列腺癌後分享我的故事，挽救了許多許多生命。

Early screening and, and diagnosis saves lives.

So that is what has just come from Sir Chris Hoy.

Let's continue with this because here in the studio with me is Paul Lyth who was diagnosed himself with prostate cancer.

我們繼續這個話題，因為在我演播室裡的是 Paul Lyth，他自己也被診斷出前列腺癌。

We're also joined by Laura Kirby, who's CEO of the charity Prostate Cancer uk.

我們也邀請到 Laura Kirby，她是 Prostate Cancer UK 這家慈善機構的執行長。

Thank you both of you for being here with us.

非常感謝兩位來到我們的節目。

So we've had official word, Laura, to you, first of all, your immediate reaction.

所以我們已經得到官方消息了，Laura，先請教您，您第一時間的反應是什麼？

So Prostate Cancer UK are deeply disappointed with the fact that the evidence isn't there to tip screening.

所以 Prostate Cancer UK 對於沒有足夠證據支持篩檢感到非常失望。

The benefits are still being outweighed by the harm.

好處仍然被潛在的傷害所掩蓋。

So we're deeply disappointed and this will be a blow to thousands of men and our heart goes out, as you'll hear from Paul, to those men that are going to be affected by this.

所以我們感到非常失望，這將對成千上萬的男性造成打擊，正如您稍後從 Paul 那裡聽到的，我們感同身受，對那些將受此影響的男性。

Well, I was diagnosed by chance back in October 21st.

嗯，我是偶然在 10 月 21 日被診斷出來的。

I went to the doctor for something completely unrelated, had no thoughts of prostate cancer, I had no symptoms or anything.

我去看醫生是因為完全不相關的事情，根本沒想到前列腺癌，我沒有任何症狀或什麼的。

But we did a blood test and the doctor happened to ask for a PSA test as part of that overall package.

但我們做了一個血液檢查，醫生碰巧要求做 PSA 檢測作為整體檢查的一部分。

And within two days I was asked to go to have further investigations because my reading was 56 and anything over 4 I believe is considered dangerous.

兩天之內，我就被要求進一步檢查，因為我的讀數是 56，而我認為任何超過 4 的都算是危險的。

And having not been ill for 15 years, all of a sudden that was it.

而且我已經 15 年沒生過病了，結果突然就這樣了。

And you said there in that answer, you had no symptoms.

你剛才回答說，你沒有任何症狀。

You said to our producer, when they told you, it came like a bombshell.

你告訴我們的製作人，當他們告訴你時，感覺就像一顆炸彈。

Obviously we've learned a lot of things since then, but

當然，從那之後我們學到了很多東西，但

I had lots of treatment, I had radiotherapy treatment and I've been off.

我接受了很多治療，我接受了放射治療，然後我就休息了。

So the testosterone is what feeds the cancer, or that's the thought process.

所以睪固酮會滋養癌症，或者說這是我們的想法。

If it had been left any longer, then who knows what could have happened?

如果再拖久一點，誰知道會發生什麼事？

So just by chance it was caught and I was able to be treated successfully.

所以只是碰巧被發現，我才能成功接受治療。

Thankfully, Laura, in terms of the reasoning for not supporting screening black men, now it's reported that one of the reasons is that there was insufficient evidence.

幸運的是，Laura，關於不支持篩檢黑人男性的理由，現在報導說其中一個原因是證據不足。

Given that we know that for black men they are twice as likely to actually get prostate cancer.

既然我們知道黑人男性罹患前列腺癌的機率是兩倍。

So one in four black men will get prostate cancer in their lifetime and the evidence is not conclusive.

所以一生中每四個黑人男性就有一人會罹患前列腺癌，而證據並不確鑿。

And so what we're doing at Prostate Cancer UK is we've actually launched this large trial called Transform.

是以，我們在 Prostate Cancer UK 所做的，是我們啟動了一個名為 Transform 的大型試驗。

And Transform will be focusing now on the evidence gaps that we see in the report.

而 Transform 現在將專注於我們在報告中看到的證據缺口。

Once we get the full report through, what's the gap?

一旦我們拿到完整的報告，缺口是什麼？

Given that we know that they are twice as likely.

既然我們知道他們罹患的機率是兩倍。

So the gap is the evidence is just not there.

There hasn't been enough data collected from black men to be able to prove that they wouldn't be put at more harm than benefit.

針對黑人男性收集到的數據還不夠，無法證明他們不會受到比益處更大的傷害。

We will do that through transform because 10% of transform will be recruited from black men.

我們會透過 Transform 來達成，因為 Transform 的招募對象中會有 10% 是黑人男性。

And we're also putting together real world evidence.

我們也正在匯集真實世界的證據。

So what that means is we're putting a million pounds into collecting evidence now about what is happening to black men so that we can go back to the National Screening Committee and make a case at a later date.

這表示我們將投入一百萬英鎊來收集現在關於黑人男性情況的證據，以便日後能向全國篩檢委員會提出論點。

Could be just a brief thought on what Jim was saying, one of the reasons about harms outweighing the benefits, because you said right at the beginning how disappointed you were, because we've all always known it's a sort of grappling, a trade off between those two things in terms of where this committee has landed.

關於 Jim 剛才說的，傷害大於益處的原因之一，因為你一開始就說了你有多失望，因為我們一直都知道，在這個委員會的決定中，這兩者之間總是在權衡取捨。

So the National Screening Committee are the experts and so we respect the process that they've run and the draft recommendation that they've made.

所以全國篩檢委員會是專家，我們尊重他們進行的程序以及他們提出的初步建議。

Prostate Cancer UK thought that as the way we diagnosed prostate cancer had changed so much with the MRI scan, that might have shifted the balance so that the benefit was greater than the harms.

Prostate Cancer UK 認為，隨著診斷前列腺癌的方式因為 MRI 掃描而有了很大的改變，這可能會改變平衡，讓益處大於傷害。

But the evidence shows quite clearly that the benefit so men found with aggressive cancers that can be treated and cured does not outweigh the harms of over treatment.

但證據顯示，對於能治療和治癒的侵襲性腫瘤，男性從中獲得的益處，並未超過過度治療的傷害。

So that's men with slow growing cancers that will cause them no serious risk having unnecessary tests and unnecessary treatment.

所以這是指那些罹患生長緩慢、不會造成嚴重風險的癌症的男性，卻接受了不必要的檢測和治療。

Paul, let's turn to that issue that Jim also talked about, which was that they've also said no for cancers or screening for cancers where it's known to be within the family.

Paul，我們來談談 Jim 也提到的那個問題，也就是他們也拒絕了針對家族性癌症的篩檢。

Because as well as your own diagnosis, there was more information that very quickly led on.

因為除了你自己的診斷之外，還有更多資訊很快就浮現了。

Well, I have four sons, so following my diagnosis, it was recommended that any of them over 40 get tested.

我總共有四個兒子，在我確診後，建議他們中任何超過 40 歲的都應該接受檢測。

And my eldest son, who was 43 at the time, was sadly diagnosed with prostate cancer as well.

而我當時 43 歲的大兒子，也很不幸地被診斷出罹患前列腺癌。

字幕列表影片播放

英國政府遭專家委員會建議，停止大規模攝護腺癌篩檢！| BBC News (UK government advised against mass prostate cancer screening by expert committee | BBC News)

specific

sort

absolutely

process