历史观点:克罗恩病和性结肠炎中的恶性病变
Hannah Williams1, Randolph M Steinhagen1
1Division of Colon and Rectal Surgery, Department of Surgery, The Icahn School of Medicine at Mount Sinai, New York.
Clinics in colon and rectal surgery
|January 8, 2024
概括
炎症性肠病 (IBD),包括克罗恩氏病和性结肠炎,增加了肠癌的风险. 本综述探讨IBD的病史,它与癌症的联系,以及影响瘤学结果的外科手术结果.
科学领域:
- 胃肠道学和瘤学
- 医学史 医学史 医学史
背景情况:
- 克罗恩病 (CD) 和性结肠炎 (UC) 是一种炎症性肠病 (IBD) 的形式.
- IBD与肠道恶性瘤的风险增加有关,但机制尚不清楚.
- 对IBD相关癌症的最佳查指南尚未建立.
研究的目的:
- 探索IBD中肠道恶性瘤的历史理解.
- 将CD和UC与特定癌症联系起来所面临的挑战置于背景中.
- 审查IBD的外科病史及其对瘤结局的影响.
主要方法:
- 关于CD和UC的发现和理解的历史综述.
- 检查IBD早期研究及其与小肠腺癌和结直肠癌的关联.
- 对IBD手术病史及其瘤学影响的分析.
主要成果:
- 详细介绍了了解IBD及其致癌潜力的历史进展.
- 早期的研究在确定IBD亚型与特定肠癌之间的明显联系方面遇到了困难.
- 某些IBD患者的手术干预与不良瘤结果有关.
结论:
- 一个全面的历史视角对于理解IBD相关的致癌症至关重要.
- 需要进一步的研究来阐明机制,并建立最佳的查协议.
- 了解外科病史为IBD患者的瘤风险管理提供了洞察力.
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