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Updated: Jun 27, 2025

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食道癌查,早期检测和治疗:目前的见解和未来的方向
Hong-Tao Qu1, Qing Li2, Liang Hao2
1Department of Emergency, Yantai Mountain Hospital, Yantai 264000, Shandong Province, China.
World journal of gastrointestinal oncology
|April 25, 2024
概括
食道癌是具有低生存率的侵袭性癌症. 早期查,诊断和治疗,特别是通过内镜,对于全球减少发病率和死亡率至关重要.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 食道癌是全球领先的恶性瘤,死亡率高,存活率差 (15%-25% 5年存活率).
- 状细胞癌和腺癌 (EAC) 的发病率和危险因素存在显著的全球差异.
- 在欧洲和美国,EAC是最常见的亚型,而状细胞癌在亚洲部分地区普遍存在.
研究的目的:
- 突出食道癌及其组织学亚型的全球负担.
- 讨论世界各地食道癌早期诊断和治疗的不同有效性和方法.
- 强调早期检测策略的重要性,以改善患者的治疗结果.
主要方法:
- 对食道癌发病率和死亡率的全球癌症统计 (2020) 的审查.
- 分析组织学亚型及其相关风险因素的区域变异.
- 检查不同地理区域早期诊断和内镜治疗的作用和有效性.
主要成果:
- 2020年,大约有604,000例新发病例和544,000例食道癌死亡报告.
- 基于内镜的早期诊断具有成本效益,并且在中国等高发病率地区很常见.
- 先进的内镜方法是早期食道癌的有效治疗方法,在最小的并发症下保持功能.
结论:
- 早期查,及时诊断和及时治疗对于减少食道癌发生率和死亡率至关重要.
- 早期诊断率的区域差异影响治疗策略和结果.
- 内镜技术为早期食道癌提供了有前途的治疗选择,特别是在高发病率人群中.
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