结肠腺瘤路径的性别差异和结肠直肠癌发生
Yonghoon Choi1, Nayoung Kim1,2
1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
The world journal of men's health
|August 31, 2023
概括
结肠直肠癌 (CRC) 的发展和结果因性别而异,受生物和行为因素的影响. 了解这些性别差异对于量身定制的查,治疗和预防策略至关重要.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 遗传学 遗传学 是一个
- 内分泌学 在内分泌学.
背景情况:
- 结肠直肠癌 (CRC) 在发病率,复发率和存活率方面表现出明显的性别特异性差异.
- 男性比女性更频繁,更早地发展CRC,这表明雌激素的保护作用.
- 女性对右侧CRC的倾向更高,这在临床上比左侧CRC更具侵略性.
研究的目的:
- 审查和综合有关结直肠癌 (CRC) 性别/性别差异的当前知识.
- 探索受性别和性别影响的CRC致癌的临床病理学,生物学,分子和社会文化方面.
- 突出了解这些差异对于改善CRC管理的重要性.
主要方法:
- 文献综述综合了CRC中关于性别/性别差异的现有研究.
- 对CRC发病率和性别结果的流行病学数据的分析.
- 检查生物机制,包括荷尔蒙和遗传因素.
- 考虑对CRC风险和进展的社会文化和行为影响.
主要成果:
- 根据瘤的位置和性别,CRC致癌途径有所不同,左侧和右侧瘤的分子机制不同.
- 性二态 (荷尔蒙,遗传) 和性别差异 (行为,社会) 有助于CRC风险和呈现.
- 雌激素似乎对女性的CRC发展起着保护作用.
- 饮食,吸烟和体育活动等行为因素有助于基于性别的风险差异.
结论:
- 性别和性别显著影响结肠直肠癌 (CRC) 的发展,进展和结果.
- 根据性别/性别差异量身定制查,治疗和预防策略,可以改善患者的生存率和生活质量.
- 对生物和社会文化因素的相互作用进行进一步的研究对于个性化CRC管理至关重要.
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