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与差异化甲状腺癌的起源和演变相关的环境因素:叙事性审查
José Paz-Ibarra1,2, Marcio José Concepción-Zavaleta3, Juan Eduardo Quiroz-Aldave4
1Department of Medicine, School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru.
Expert review of endocrinology & metabolism
|July 8, 2024
概括
全球甲状腺癌 (TC) 发病率正在上升,特别是在45岁以上的女性中. 本综述涵盖了差异化TC (DTC) 流行病学,风险因素和免疫微环境,突出了免疫治疗的潜力.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 甲状腺癌 (TC) 的全球发病率有所增加,分化甲状腺癌 (DTC) 是最常见的内分泌瘤.
- 诊断方面的改进可能有助于这一增长,但过度诊断也令人担忧.
- 了解DTC流行病学,风险因素和免疫微环境至关重要.
研究的目的:
- 审查差异化甲状腺癌 (DTC) 的流行病学.
- 识别和讨论与DTC相关的各种风险因素.
- 探索免疫微环境在DTC中的作用及其治疗影响.
主要方法:
- 在Scielo,Scopus和EMBASE数据库中进行了全面的文献搜索.
- 总共有72篇相关文章被纳入了本次综述.
- 数据综合集中在流行病学趋势,风险因素和DTC的免疫方面.
主要成果:
- 在全球范围内,DTC的发病率正在上升,特别是在45岁以上的女性中.
- 已识别的内源性风险因素包括遗传疾病,种族,年龄,女性性别,肥胖和2型糖尿病.
- 环境风险包括电离辐射,缺乏,内分泌干扰物和污染;免疫微环境是瘤攻击性的关键.
结论:
- 免疫疗法对差异化甲状腺癌是一个有前途的干预措施.
- 精准医学,分子分析和免疫疗法是未来研究的新兴领域.
- 需要共同努力来实现最近在DTC管理和诊断方面的进展.
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