Abstract: Prostate cancer is one of the most common urinary tract tumors in Chinese older men.Early diagnosis is essential to improve life expectancy of the patients.In contrast with early diagnosis of prostate cancer expert consensus,there existed many problems in community health service centers,such as the shortage of professional personnel,insufficience of knowledge and skills,lack of relevant diagnostic equipment,lack of diagnostic criteria and standards for process for the early diagnosis of prostate cancer and so on.Some measures should be taken to improve the early diagnosis ability of prostate cancer in the community health centers,such as making general physicians pay more attention to prostate disease,launching health education about prostate cancer in order to prompt patients to seek initiatively medical attention,formulating relevant standards to promote the ability of general physician to early diagnose prostate cancer.By doing so,we can take full advantage of community medical service,improve the early diagnosis of prostate cancer,and improve the prognosis of patients with prostate cancer.

Key words: Prostatic neoplasms, Screening, Early diagnosis, Community health centers

摘要： 前列腺癌是我国老年男性常见的泌尿系统恶性肿瘤，能否早期诊断决定了患者预期寿命的长短。与前列腺癌早期诊断专家共识相对照，社区卫生服务中心普遍存在专业技术人员不足、知识技能水平不足、缺乏相关诊断条件、缺乏前列腺癌早期诊断规范及标准流程等问题，需采取相关措施，如增强社区医生对前列腺癌的重视程度、开展前列腺癌健康教育促使患者主动就医、制定相关规范提高社区前列腺癌早期诊断能力等，才能进一步发挥社区医疗服务的优势，改善前列腺癌早期诊断状况，从而改善患者预后。

关键词: 前列腺肿瘤, 筛查, 早期诊断, 社区卫生服务中心