请大家推荐每年体检 应该做的额外检查项目

n
niacin
楼主 (北美华人网)
看隔壁帖子越来越意识到体检的重要性。美国default的体检项目感觉太简单了,请大家推荐一些定期体检时候应该检查的项目。
希望大家身体都健健康康!
感谢!
f
fmsunshine
我在美国年检 查的血 血压 血糖 肺功能
回国做了B超 查了 肝 胆 脾 肾 甲状腺 还有妇科的子宫 卵巢和附件
就这些
b
bluebluerain
看家庭病史还有环境因素。
我家有糖尿病心血管高危风险存在所以是必查项目。
我自己本身的工作有大量呼吸传染病的病人 所以肺功能也是必查之一。
年龄再大些就会加肠胃和乳腺这方面的了。
w
westlake
先把钱准备好,任何不是普通人群需要做的,都是按诊断bill的
z
zhubei
Mark 体检 年检
宝宝
https://www.mayoclinic.org/tests-procedures/colonoscopy/about/pac-20393569

Screen for colon cancer. If you're age 50 or older and at average risk of colon cancer — you have no colon cancer risk factors other than age — your doctor may recommend a colonoscopy every 10 years or sometimes sooner to screen for colon cancer. Colonoscopy is one option for colon cancer screening. Talk with your doctor about your options.

My PCP recommends doing one at age 40 as the insurance can cover one at age 40 if there is family history.
宝宝
https://www.mayoclinic.org/tests-procedures/mammogram/about/pac-20384806
Some general guidelines for when to begin screening mammography include:

Women with an average risk of breast cancer. Many women begin mammograms at age 40 and have them every one to two years. Professional groups differ on their recommendations. The American Cancer Society advises women with an average risk to begin screening mammograms yearly at age 45 until age 54, and then continue every two years. The U.S. Preventive Services Task Force recommends women start screening every two years starting at age 50 until age 74. However, these groups agree that women can choose to be screened starting at age 40.
Women with a high risk of breast cancer. Women with a high risk of breast cancer may benefit by beginning screening mammograms before age 40. Talk to your doctor about evaluating your individual risk of breast cancer. Your risk factors, such as a family history of breast cancer or a history of precancerous breast lesions, may lead your doctor to recommend magnetic resonance imaging (MRI) in combination with mammograms.
宝宝
https://www.uptodate.com/contents/ovarian-cancer-screening-beyond-the-basics

WHO SHOULD BE SCREENED?

High-risk family history — A woman with a "high-risk" family history is someone who has a strong family history of breast or ovarian cancer in more than one relative or has family members with cancer who have certain characteristics.

Women with this history should meet with a genetic counselor to discuss genetic testing for BRCA1 and BRCA2 (table 1). Genetic testing is discussed in a separate article. (See "Patient education: Genetic testing for breast and ovarian cancer (Beyond the Basics)".)

Ovarian cancer screening may be recommended if you have a high risk family history of ovarian cancer and:

●You have a BRCA mutation and you have your ovaries

●You have Lynch syndrome (also called hereditary nonpolyposis colorectal cancer [HNPCC]) and you have your ovaries

Ovarian cancer screening may also be considered for women who are eligible to have genetic testing (because of their high-risk family history) but who have chosen not to have genetic testing. In this group, ovarian cancer screening may be recommended, starting at age 30 to 35, or 5 to 10 years earlier than the age when the youngest family member was diagnosed. Screening may include a blood test for CA-125 and a pelvic ultrasound.

If you have a high risk family history, there are alternatives to ovarian cancer screening, such as having your ovaries removed to prevent cancer. These options are discussed separately. (See "Patient education: Genetic testing for breast and ovarian cancer (Beyond the Basics)", section on 'Interpreting the results'.)

Lower-risk family history — Women who do not meet the criteria for a high-risk family history should discuss their risks for ovarian cancer with a healthcare provider. Ovarian cancer screening is not usually recommended for this group.

Average-risk women — Women with an "average risk" of ovarian cancer do not have a personal or family history of ovarian cancer. Screening for ovarian cancer is not recommended in average risk women.
f
faramita
回国做,至少把B超从脖子到小腹有的项目全都做一遍;胸片,心电图看有没有需求;还有一些特殊血检项目,比如胃、肝功能,以及查肿瘤的。
n
niacin
感谢大家!
梦的衣裳
我隔壁妇科癌整楼里的发言哈,CA125是要做的。早期妇科癌症的indicator,有mm认为美国医生说不用做,美国医生正确。无所谓啊,给大家提个醒而已,我国内的朋友和我姐都是体检的时候自己加钱做CA125的。
冰是睡着的水
其实最好是针对性的体检,看你的年纪家族遗传历史决定,每年什么都检查没有必要