大肠直肠癌
Cathy Eng1, Takayuki Yoshino2, Erika Ruíz-García3
1Division of Hematology and Oncology, Vanderbilt University Medical Center, Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.
Lancet (London, England)
|June 23, 2024
概括
全球结肠直肠癌发病率正在上升,尤其是在年轻患者中. 在全身治疗,手术和向治疗方面取得的进步正在改善这种常见癌症的生存率.
科学领域:
- 癌症学
- 胃肠病学
- 外科瘤学
背景情况:
- 结肠直肠癌仍然是全球主要的癌症诊断,新兴经济体的发病率正在上升,早期发病病例 (年龄≤50岁) 越来越令人担忧.
- 尽管一些高收入人群的发病率有所下降,但整体全球负担需要持续的研究和临床进展.
研究的目的:
- 提供近期结直肠癌治疗临床进展的多学科概述.
- 突出正在进行的关键研究领域和结直肠癌治疗的未来方向.
主要方法:
- 本综述综合了目前临床研究和专家对结直肠癌管理的观点.
- 它研究了全身疗法,手术技术和分子向治疗的进展.
主要成果:
- 通过改进的全身疗法和手术选择,在提高整体存活率方面取得了显著进展.
- 目前正在进行的研究重点是关节保护,精确瘤学,循环瘤DNA,微生物组分析和肝转移管理.
结论:
- 多学科方法和持续的研究对于改善结直肠癌的结果至关重要.
- 未来的方向强调个性化医疗和创新的地方战略来对抗这种疾病.
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