早期发病的胃肠道癌症:全面审查和未来的方向
Sara K Char1, Catherine A O'Connor2, Kimmie Ng1
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
The British journal of surgery
|July 8, 2025
概括
早期发病的胃肠道 (GI) 癌症在全球范围内正在增加,特别是在年轻人群中. 研究强调了饮食和肥胖等可修改的风险因素,需要改进查和护理策略.
科学领域:
- 胃肠道学和瘤学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在50岁以下的患者中,早期发病 (EO) 胃肠 (GI) 癌症的全球发病率不断上升.
- 这一趋势表明出生队列效应,可能是由饮食和生活方式等环境因素驱动的.
研究的目的:
- 审查早期发生的胃肠道癌的流行病学,风险因素和临床特征.
- 检查各种EO GI恶性瘤的趋势和结果.
主要方法:
- 综合叙事文献综述,重点关注EO大肠直肠,食管胃,胰腺,尾,胆道和神经内分泌癌症.
- 对流行病学趋势,风险因素,临床/分子特征,遗传特征和结果的分析.
主要成果:
- 在EOGI癌症发病率的持续上升,不成比例地影响少数群体和妇女.
- 虽然生殖系变异更常见,但大多数EO GI癌症是零星的.
- 肥胖,西方饮食,NAFLD,吸烟和酒精与增加风险有关.
- 年轻的患者往往呈现出更具侵略性的疾病,并接受密集治疗.
结论:
- EO GI癌症是不同的实体,具有独特的查,管理和生存挑战.
- 进一步了解病因,优化查和加强幸存者支持至关重要.
- 临床护理和研究需要一种多学科的,以公平为基础的方法.
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