结肠直肠癌:它仍然是一个老年人的疾病吗?
Renata Kędzia-Berut1, Maciej Berut2, Marcin Włodarczyk3
1Department of General and Colorectal Surgery, Military Medical Academy Memorial Teaching Hospital, Lodz, Poland.
Polski przeglad chirurgiczny
|February 13, 2024
概括
结肠直肠癌越来越多地在年轻人中被诊断出,男性和40岁以下的人患上更高的风险和晚期. 公共意识和调整的查对于这个日益严重的健康问题至关重要.
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:
- 大肠直肠癌 (CRC) 是一种严重的恶性瘤,影响所有癌症的10-12%.
- 虽然传统上与年龄较大有关,但在中年和年轻人中观察到CRC病例的增加.
- 在男性,尤其是年轻人群体中,CRC的发病率更高.
研究的目的:
- 为了确定结直肠癌 (CRC) 主要影响老年人.
- 评估年轻患者中CRC诊断的频率.
- 为了比较年轻人与老年CRC患者的瘤位置.
主要方法:
- 对1771名接受结直肠癌手术的患者 (2012-2017年) 的回顾性分析.
- 根据年龄组 (<40,41-50,51-70,>70岁),瘤位置和疾病阶段分析的数据.
- 对人口统计和临床数据的统计分析.
主要成果:
- 癌症的发病率正在增加,年轻人的发病率显著上升.
- 男性,特别是50岁以下的男性,与女性 (右侧) 相比,患病率较高,瘤位置不同 (左侧/直肠).
- 40岁以下的患者呈现出明显更先进的疾病阶段 (D阶段).
结论:
- 波兰的结肠直肠癌 (CRC) 发病率正在上升,年轻患者的发病率有所增加.
- 年轻的男性有更高的风险,经常被诊断为晚期CRC,这表明检测延迟.
- 查计划和公众意识倡议需要针对处于风险中的年轻人群.
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