{"id":63288,"date":"2026-03-18T18:52:00","date_gmt":"2026-03-18T17:52:00","guid":{"rendered":"https:\/\/www.invarena.cz\/?p=63288"},"modified":"2026-03-18T18:52:01","modified_gmt":"2026-03-18T17:52:01","slug":"screening-rakoviny-plic-zachranuje-zivoty","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=63288","title":{"rendered":"Screening rakoviny plic zachra\u0148uje \u017eivoty"},"content":{"rendered":"\n

\u00damrtnost m\u016f\u017ee sn\u00ed\u017eit a\u017e o p\u011btinu<\/em><\/p>\n\n\n\n

\u010cesk\u00e1 republika m\u016f\u017ee ostatn\u00ed u\u010dit, jak na rakovinu plic. Co se \u010dasn\u00e9ho z\u00e1chytu tohoto onemocn\u011bn\u00ed t\u00fd\u010de, je toti\u017e d\u00e1l ne\u017e v\u011bt\u0161ina evropsk\u00fdch zem\u00ed. Plo\u0161n\u00fd screening karcinomu plic funguje jen ve t\u0159ech st\u00e1tech EU \u2013 a \u010cesko je jedn\u00edm z\u00a0nich. <\/strong><\/p>\n\n\n\n

O sv\u00e9 zku\u0161enosti se \u010de\u0161t\u00ed specialist\u00e9 d\u011bl\u00ed s ostatn\u00edmi zem\u011bmi prost\u0159ednictv\u00edm mezin\u00e1rodn\u00edho projektu <\/strong>SOLACE<\/strong><\/a> (Strengthening the screening of Lung Cancer in Europe). Zapojily se do n\u011bj des\u00edtky evropsk\u00fdch zdravotnick\u00fdch za\u0159\u00edzen\u00ed \u2013 v\u010detn\u011b pra\u017esk\u00e9 Fakultn\u00ed Thomayerovy nemocnice (FTN).<\/strong><\/p>\n\n\n\n

Rakovina plic je nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed na onkologick\u00e9 onemocn\u011bn\u00ed v\u00a0Evrop\u011b \u2013 ro\u010dn\u011b zabije p\u0159ibli\u017en\u011b 270\u00a0000 lid\u00ed. Projekt SOLACE, kter\u00fd odstartoval v\u00a0roce 2023, chce tento nep\u0159\u00edzniv\u00fd trend zvr\u00e1tit zaveden\u00edm plo\u0161n\u00e9ho screeningu nap\u0159\u00ed\u010d Evropou. Podle odborn\u00edk\u016f m\u016f\u017ee \u010dasn\u00fd z\u00e1chyt sn\u00ed\u017eit \u00famrtnost a\u017e o p\u011btinu.<\/p>\n\n\n\n

\u201e\u010cesk\u00e1 republika st\u00e1la u zrodu projektu SOLACE. Krom\u011b Polska a Chorvatska jsme toti\u017e jedinou evropskou zem\u00ed, kde program \u010dasn\u00e9ho z\u00e1chytu rakoviny plic funguje,\u201c <\/em>vysv\u011btluje prof. MUDr. Martina Koziar Va\u0161\u00e1kov\u00e1, p\u0159ednostka Pneumologick\u00e9 kliniky 1. LF UK a FTN a\u00a0odborn\u00e1 garantka projektu SOLACE v \u010cesk\u00e9 republice. \u201ePlo\u0161n\u00fd screening denn\u011b zachra\u0148uje \u017eivoty a m\u011bl by b\u00fdt dostupn\u00fd ve v\u0161ech regionech Evropy. Mezi rizikov\u00e9 osoby pat\u0159\u00ed sou\u010dasn\u00ed i b\u00fdval\u00ed ku\u0159\u00e1ci. Ohro\u017een\u00ed jsou zejm\u00e9na pacienti po onkologick\u00e9 l\u00e9\u010db\u011b, lid\u00e9 s chronick\u00fdm plicn\u00edm onemocn\u011bn\u00edm nebo po transplantac\u00edch,\u201c <\/em>dopl\u0148uje l\u00e9ka\u0159ka.<\/p>\n\n\n\n

Projekt SOLACE zmapoval v letech 2023\u20132026 rozd\u00edly v oblasti prevence rakoviny plic a v p\u0159\u00edstupu k rizikov\u00fdm skupin\u00e1m v 15 st\u00e1tech EU. Zapojilo se do n\u011bj 33 zdravotnick\u00fdch za\u0159\u00edzen\u00ed, v\u010detn\u011b Fakultn\u00ed Thomayerovy nemocnice v Praze. \u201eZdravotnick\u00e1 za\u0159\u00edzen\u00ed hraj\u00ed v systematick\u00e9m vyhled\u00e1v\u00e1n\u00ed ohro\u017een\u00fdch pacient\u016f a v\u010dasn\u00e9 diagnostice z\u00e1sadn\u00ed roli. Projekt SOLACE n\u00e1m umo\u017enil sd\u00edlet na\u0161e zku\u0161enosti s ostatn\u00edmi evropsk\u00fdmi pracovi\u0161ti,\u201c<\/em> popisuje prof. Koziar Va\u0161\u00e1kov\u00e1.<\/p>\n\n\n\n

V r\u00e1mci projektu SOLACE se v\u00a0sedmi st\u00e1tech EU uskute\u010dnil pr\u016fzkum mezi rizikov\u00fdmi pacienty a\u00a0l\u00e9ka\u0159i, kter\u00fd se t\u00fdkal jejich postoje k\u00a0\u010dasn\u00e9mu z\u00e1chytu rakoviny plic. V\u00a0\u010cesku se ho z\u00fa\u010dastnilo 264\u00a0pacient\u016f a 93 zdravotnick\u00fdch pracovn\u00edk\u016f. Vypl\u00fdv\u00e1 z n\u011bj, \u017ee 79 % lid\u00ed u n\u00e1s vn\u00edm\u00e1 screening pozitivn\u011b. Pr\u016fzkum tak\u00e9 uk\u00e1zal, \u017ee screening m\u011bn\u00ed chov\u00e1n\u00ed lid\u00ed \u2013 61 % osloven\u00fdch pacient\u016f uvedlo, \u017ee za posledn\u00edch 12 m\u011bs\u00edc\u016f p\u0159estali kou\u0159it nebo omezili po\u010det cigaret.<\/p>\n\n\n\n

\u201eScreening nen\u00ed jednor\u00e1zov\u00e9 vy\u0161et\u0159en\u00ed, ale proces, kter\u00fd z\u00e1rove\u0148 p\u016fsob\u00ed jako prevence a m\u011bn\u00ed p\u0159\u00edstup k\u00a0vlastn\u00edmu zdrav\u00ed,\u201c<\/em> \u0159\u00edk\u00e1 prim. MUDr. Ivana \u010ciern\u00e1 Peterov\u00e1, p\u0159edsedkyn\u011b Sekce ambulantn\u00edch pneumolog\u016f \u010cesk\u00e9 pneumologick\u00e9 a ftizeologick\u00e9 spole\u010dnosti \u010cLS JEP.<\/p>\n\n\n\n

V\u00a0\u010cesk\u00e9 republice ka\u017ed\u00fd rok p\u0159ib\u00fdv\u00e1 p\u0159es 6\u00a0000 pacient\u016f s\u00a0karcinomem plic a t\u00e9m\u011b\u0159 stejn\u00fd po\u010det lid\u00ed na tuto nemoc ro\u010dn\u011b zem\u0159e. V\u011bt\u0161ina lid\u00ed toti\u017e p\u0159ich\u00e1z\u00ed k\u00a0l\u00e9ka\u0159i a\u017e v\u00a0pokro\u010dilej\u0161\u00edm stadiu nemoci \u2013 ve chv\u00edli, kdy se u nich objev\u00ed prvn\u00ed p\u0159\u00edznaky. Na \u00fa\u010dinnou l\u00e9\u010dbu u\u017e v\u00a0t\u00e9 chv\u00edli b\u00fdv\u00e1 pozd\u011b. Z\u00e1sadn\u00ed roli v\u00a0prevenci maj\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i.<\/p>\n\n\n\n

\u201eJsme prvn\u00ed, kdo pacient\u016fm screening nab\u00edz\u00ed. Dok\u00e1\u017eeme rozpt\u00fdlit jejich obavy a motivovat je k\u00a0zapojen\u00ed se do programu. Polovina pacient\u016f, kter\u00e9 jsme oslovili, s\u00a0preventivn\u00edm vy\u0161et\u0159en\u00edm souhlasila,\u201c<\/em> p\u0159ibli\u017euje MUDr.\u00a0Norbert Kr\u00e1l, p\u0159ednosta \u00dastavu v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed 1. LF UK a \u010dlen Spole\u010dnosti v\u0161eobecn\u00e9ho l\u00e9ka\u0159stv\u00ed \u010cLS JEP. D\u016fle\u017eit\u00e1 je podle n\u011bj i spolupr\u00e1ce s\u00a0ostatn\u00edmi specialisty. Rizikov\u00e9 osoby odes\u00edlaj\u00ed praktici k pneumolog\u016fm. <\/p>\n\n\n\n

\u201eS\u00a0pacienty probereme jejich osobn\u00ed a rodinnou anamn\u00e9zu a provedeme komplexn\u00ed vy\u0161et\u0159en\u00ed plic. Pokud odhal\u00edme plicn\u00ed onemocn\u011bn\u00ed, kter\u00e9 lze \u0159e\u0161it v\u00a0ordinaci ambulantn\u00edch pneumolog\u016f, p\u0159evezmeme je do p\u00e9\u010de a nasad\u00edme l\u00e9\u010dbu. V\u00a0r\u00e1mci screeningu pak pacienti je\u0161t\u011b podstoup\u00ed CT\u00a0vy\u0161et\u0159en\u00ed s\u00a0n\u00edzkou d\u00e1vkou z\u00e1\u0159en\u00ed u radiologa,\u201c<\/em> popisuje prim. \u010ciern\u00e1 Peterov\u00e1. <\/p>\n\n\n\n

N\u00edzkod\u00e1vkov\u00e9 CT um\u00ed zachytit i\u00a0velmi \u010dasn\u00e1 stadia rakoviny plic. \u201eTento typ vy\u0161et\u0159en\u00ed dok\u00e1\u017ee odhalit n\u00e1dor d\u0159\u00edv, ne\u017e se\u00a0objev\u00ed jak\u00e9koli p\u0159\u00edznaky. Pacienti pak maj\u00ed v\u011bt\u0161\u00ed \u0161anci na vyl\u00e9\u010den\u00ed. Skenov\u00e1n\u00ed na radiologick\u00e9m pracovi\u0161ti je rychl\u00e9 a nebol\u00ed,\u201c<\/em> dopl\u0148uje prof. MUDr. Hynek M\u00edrka z Kliniky zobrazovac\u00edch metod LF UK a FN Plze\u0148.<\/p>\n\n\n\n

V programu \u010dasn\u00e9ho z\u00e1chytu karcinomu plic, kter\u00fd se stal inspirac\u00ed pro pilotn\u00ed projekty screeningu v dal\u0161\u00edch evropsk\u00fdch zem\u00edch, podstoupilo v \u010cesku od roku 2022 CT vy\u0161et\u0159en\u00ed v\u00edce ne\u017e 20 tis\u00edc osob. \u201eU 3 % \u00fa\u010dastn\u00edk\u016f l\u00e9ka\u0159i odhal\u00ed pozitivn\u00ed n\u00e1lez \u2013 podez\u0159el\u00e9 plicn\u00ed uzly s vysokou pravd\u011bpodobnost\u00ed n\u00e1doru. U v\u00edce ne\u017e 165 osob se doposud podle n\u00e1rodn\u00edho registru po \u00fa\u010dasti ve screeningu potvrdil n\u00e1dor plic, u poloviny z nich v nej\u010dasn\u011bj\u0161\u00edm stadiu 1,\u201c <\/em>p\u0159ibli\u017euje RNDr. Ond\u0159ej M\u00e1jek, v\u011bdeck\u00fd vedouc\u00ed N\u00e1rodn\u00edho screeningov\u00e9ho centra. Do programu se mohou zapojit lid\u00e9 ve v\u011bku 55\u201374 let se z\u00e1t\u011b\u017e\u00ed 20 a v\u00edce \u201ebal\u00ed\u010dkorok\u016f\u201c. \u201eJedn\u00e1 se nap\u0159\u00edklad o osoby, kter\u00e9 kou\u0159\u00ed nebo kou\u0159ily jeden bal\u00ed\u010dek cigaret denn\u011b po dobu alespo\u0148 20 let,\u201c<\/em> up\u0159es\u0148uje RNDr. M\u00e1jek.<\/p>\n\n\n\n

\u201eDo screeningu rakoviny plic se aktivn\u011b zapojuje st\u00e1le v\u00edce pacient\u016f. U mnoh\u00fdch jsme zachytili nemoc v\u010das a mohli je za\u010d\u00edt l\u00e9\u010dit. Na\u0161e v\u00fdsledky potvrzuj\u00ed, \u017ee screening m\u00e1 smysl,\u201c <\/em>uzav\u00edr\u00e1 prof. Koziar Va\u0161\u00e1kov\u00e1.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00damrtnost m\u016f\u017ee sn\u00ed\u017eit a\u017e o p\u011btinu \u010cesk\u00e1 republika m\u016f\u017ee ostatn\u00ed u\u010dit, jak na rakovinu plic. Co se \u010dasn\u00e9ho z\u00e1chytu tohoto onemocn\u011bn\u00ed t\u00fd\u010de, je toti\u017e d\u00e1l […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":60469,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-63288","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=63288"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/63288\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/60469"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=63288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=63288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=63288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}