胆管癌的新流行病学趋势
Alina Pascale1, Olivier Rosmorduc2, Jean-Charles Duclos-Vallée1
1Hepato-Biliary Department, Paul Brousse Hospital, APHP, 14 Avenue Paul Vaillant Couturier, 94800 Villejuif, France; INSERM U1193, Université Paris-Saclay, France; FHU Hepatinov, France.
Clinics and research in hepatology and gastroenterology
|October 5, 2023
概括
在西欧,肝脏内胆管癌 (iCCA) 的发病率和死亡率正在上升,与肝外胆管癌 (eCCA) 不同. 肥胖和糖尿病等新出现的风险因素越来越多地与iCCA有关.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 胆管癌 (CCA) 是一种严重的胆管和肝脏恶性瘤.
- 在西欧,肝脏内胆固醇癌 (iCCA) 的发病率正在增加,而肝外胆固醇癌 (eCCA) 则保持稳定.
- iCCA的死亡率正在上升,超过eCCA的死亡率.
研究的目的:
- 分析胆管癌发病率和死亡率的趋势.
- 确定iCCA和eCCA的既定和新出现的风险因素.
主要方法:
- 三十年来CCA发病率和死亡率趋势的流行病学分析.
- 审查与CCA亚型相关的已知和新出现的风险因素.
主要成果:
- 在西欧观察到iCCA发病率和死亡率的显著增加.
- 对于eCCA发病率和死亡率的趋势稳定或下降.
- 已确定的危险因素包括肝胆道,肝,胆道囊 (亚洲) 和原发性硬化胆道炎 (西方).
- 肝炎B/C病毒感染和肝硬化是iCCA的危险因素.
- 肥胖,糖尿病和与代谢相关的脂肪肝疾病 (MAFLD) 是新兴的iCCA风险因素.
结论:
- 在西方国家,iCCA代表着日益严重的公共卫生问题.
- 了解各种风险因素对于针对CCA亚型的有针对性的预防和治疗策略至关重要.
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