结肠直肠癌年龄比较分析 结肠镜检查结果 查结果
Ilona Vilkoite1,2,3, Ivars Tolmanis2,4, Hosams Abu Meri1
1Health Centre 4, LV-1012 Riga, Latvia.
Medicina (Kaunas, Lithuania)
|November 25, 2023
概括
与晚期的结直肠癌相比,早期发作的结直肠癌 (EOCRC) 显示出明显的聚病理学. 年龄分层查对于有效的结肠癌检测和多评估至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 大肠直肠癌 (CRC) 发病率在50岁以下的人群中正在上升,称为早期发病的大肠直肠癌 (EOCRC).
- 在EOCRC和晚发性CRC (LOCRC) 患者之间存在多和腺瘤发病率的显著差异.
- 了解这些变异是优化查策略的关键.
研究的目的:
- 为了比较EOCRC (<50年) 和LOCRC (≥50年) 组之间的多和腺瘤发病率和病理学.
- 根据年龄来调查聚位对CRC查有效性的影响.
主要方法:
- 分析了1653名患者的结肠镜查数据 (2022年9月 - 2023年2月).
- 患者分为两组:第一组 (<50岁,n=1021) 和第二组 (≥50岁,n=632).
- 根据世界卫生组织的标准进行外科手术性聚体采集和鉴定.
主要成果:
- 在50岁以下的群体中,多体检测率为42%,在50岁以上的群体中为76%.
- 50岁以下的小组显示出多发性多,特别是在直肠和西格结肠.
- ≥50组表现出较高的状息肉和多种腺瘤表现的患病率.
结论:
- 年龄分层对于有效的CRC结肠镜查至关重要.
- 结肠内的息肉定位会影响查的有效性,需要根据年龄进行特定的评估.
- 调查结果强调,需要针对不同年龄群体量身定制的查方法.
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