早期胃癌查的全球进展和未来前景
Yixiao Huang1,2, Yongfu Shao1,2, Xuan Yu2
1Department of Gastroenterology, the First Affiliated Hospital of Ningbo University, Ningbo 315020, China.
Journal of Cancer
|May 6, 2024
概括
由于其无症状性质和晚期预后不佳,早期胃癌查至关重要. 本综述详细介绍了成像,内镜和血清生物标志物查方法的全球进展,用于早期检测.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 胃癌是全球死亡的主要原因,由于无症状的早期阶段,往往是晚期检测到的.
- 晚期胃癌的预后不好,这凸显了对有效的早期检测策略的急需.
研究的目的:
- 系统地审查早期胃癌查方法的全球进展和未来方向.
- 为推进全球胃癌的早期诊断和治疗提供见解.
主要方法:
- 目前主要的查方式概述:成像,内镜和血清生物标志物查.
- 详细检查每个类别内的各种技术,包括上胃肠粉,MDCT,MRI,超声波,白光内镜,染色内镜和先进的内镜技术.
- 探索传统和新兴的血清生物标志物,包括,DNA (cfDNA,DNA甲基化,MSI) 和非编码RNA (miRNA,lncRNA,circRNA,tsRNA).
主要成果:
- 每种查方法 (成像,内镜,生物标志物) 都具有不同的优点和局限性.
- 全球临床和基础研究的重大进展正在提高早期胃癌查能力.
- 新兴生物标志物显示出改善诊断准确性和早期检测的希望.
结论:
- 早期发现胃癌对于改善患者的治疗结果至关重要.
- 针对多种查方式的持续研究和开发对于全球打击胃癌至关重要.
- 整合各种查方法可能为早期胃癌诊断提供更全面的策略.
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