体检10年无异常，一查癌症晚期？回应来了

近日，北京执业律师张晓玲“体检10年无异常却被确诊癌症晚期”一事引发热议。对此，爱康集团（爱康国宾母公司）于17日向中新经纬作出情况说明。

A Beijing lawyer named Zhang Xiaoling has shared online that she was diagnosed with late-stage cancer after a decade of routine health checkups showing no issues, sparking widespread concern. In response to the controversy, iKang Healthcare Group, the parent company of Zhang's healthcare provider, issued a statement on Thursday, emphasizing that cancer development is a complex, multi-stage process.

爱康集团回应

爱康集团称，任何癌症的发生从基因的突变/变异、甲基化修饰异常、抑癌基因的失活、致癌基因的激活到癌变都有一个过程。在这个过程中，取决于体检的时间点、检测方法、检测设备以及医师的专业水平，有些癌症可以被检测到，有些癌症还无法检测到；体检没有检测到有可能按照使用的检测手段在那个时间段确实无法检测到。爱康的体检报告会真实记录当时的检查结果，对于是什么原因导致没有检测到，爱康会请第三方权威机构以及专家来进行论证分析，最终以第三方权威机构以及专家建议为准。如果出现爱康有责，爱康集团一定会承担责任，绝不会逃避。

爱康集团表示，爱康集团在张女士2023年体检报告中，提示“右肾钙化灶，左肾错构瘤可能”。张女士在投诉中对外公布2024年的囊肿大小在3.5cm×2.8cm，从2023到2024年，该囊肿大小在癌症的增长速度范围内。

The company stated that cancer detection depends on factors such as timing, testing methods, equipment, and physician expertise. It added that some cancers may not be detectable in their early stages. iKang also noted that Zhang's 2023 medical report mentioned kidney calcification and a possible tumor. The company stressed that its reports accurately reflected the findings at the time and promised to involve third-party experts to investigate the case. If found responsible, iKang said it would not avoid accountability.

爱康集团还表示，需要进一步说明的是，根据人民卫生出版社出版的2022版《肾细胞癌诊疗指南》，目前尚无公认的用于肾细胞癌早期辅助诊断的血清肿瘤标志物，也就是癌胚抗原CEA的检测结果与肾细胞癌没有被认可的关联性。

本人最新发声

从2013年到2023年，张晓玲连续10年在爱康国宾进行体检，从未检查出患癌风险，却在2024年被确诊为癌症晚期，引发关注。

Zhang, who underwent annual physicals at iKang Guobin Medical Center from 2013 to 2023, said none of her reports ever indicated any risk of cancer. Yet in 2024, she was diagnosed with late-stage kidney cancer that had spread to her spine.

7月17日，当事人@张晓玲律师 在腾讯新闻热问上发文讲述事情经过，她称自己年年体检。

张晓玲表示：“2023年去体检的时候发现了右肾钙化，我问他们钙化啥意思，他们还说没问题，很正常，就像你手指头划破了，结痂了，那也叫钙化，所以不用担心。”

“2024年8月底我开始腰疼，老好不了，后来我就约了北大康复的体检，还特意跟检查医生说我腰比较疼，你着重给我看看。过几天他就给我打电话，说你有囊肿，建议到医院里再进一步检查。后来我去北大国际，让医生看了我的体检报告，他给开了个增强CT。他看报告，说你这个右肾从影像里边看有透明细胞癌。”

Zhang said her 2023 checkup showed calcification in her right kidney, but doctors told her it was nothing serious. In August 2024, after months of persistent back pain, she underwent another exam and was eventually diagnosed with clear cell carcinoma. Doctors told her the tumor had likely been growing for years.

“我问这个有多长时间了？怎么一直没检查出来？他说可能没有人去关注到，比较小吧，但是这种形成的话，不是一天两天的，肯定也需要很长时间，按年头计算了。”

“后来我去医院做手术，把右肾全都切掉了，但是腰一直疼，止疼片也不管用，一天比一天疼，特别严重，我那时候都站不住了。医生朋友建议我到医院挂个脊柱科看看，拍个片，结果发现确实有问题，有地方坏掉了。后来赶上春节大年三十，都放假了，我就去了国外，结果他们通过血液检查直接给我确诊了，腰椎骨骨癌四期，随时就会瘫痪。因为神经压迫，我站不住，也坐不住了，只能躺。”

Following surgery to remove her right kidney, Zhang's condition worsened. Additional tests revealed the cancer had metastasized to her spine. She was later diagnosed abroad with late-stage bone cancer.

“这10年的体检报告APP上面都有的，我全下载来了，大夫和报告真的就一点点的提示和预警都没有。包括现在我再找他们解读，他们还说我啥问题都没有，十年体检啥病都没查出来，肿瘤标志物筛查，每年那个数值都在正常范围，没有任何异常过。”

Zhang said none of her ten years of checkups showed any warning signs. Even when she asked for a review, doctors insisted everything was normal, and her tumor marker levels were consistently within the normal range.

2022年体检报告显示双肾未见异常（当事人供图）

来源：津云 中新经纬 九派新闻

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