衰老与癌症:肿瘤标志物在老年人群中的临床作用(综述)

S. Sundaresan, Palanirasu Rajapriya, SelvarajKaveri Lavanya
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摘要

.随着多个器官系统的逐渐衰退和功能减退,衰老在个体之间和个体内部都具有高度异质性。在临床实践中,肿瘤标志物被广泛用作 50 岁以上人群的筛查试验。更具体地说,鉴于癌症的发病率及其相关的死亡率和发病率,照顾老年患者是一个公共卫生问题。被称为老年评估的多学科诊断程序能够发现标准评估所遗漏的功能、心理和生理问题。本综述重点关注影响老年群体的癌症,突出当前的机遇和挑战,并强调老年癌症患者对临床相关肿瘤标志物的需求尚未得到满足。全面的老年病检查(包括生物学评估)仍然需要方便可用的肿瘤标志物及其在老年人群中的水平,以便预测病情恶化或功能平衡的丧失。有了这些肿瘤指标,就有可能利用其他结果(如总体生存率和功能障碍)对患者进行跟踪。尽管在了解人类生物学方面取得了显著进展,但衰老的内在机制和网络在很大程度上仍不为人所知。此外,由于老年患者是一个高度异质性的群体,因此与年龄相关的变化不能仅以时间年龄来区分。强有力的临床研究、完善的方案和荟萃分析可能有助于更好地利用老年人群中的肿瘤生物标志物。因此,本综述探讨了衰老对肿瘤标志物的影响以及肿瘤标志物值对老年人群的实用性。
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Aging and cancer: Clinical role of tumor markers in the geriatric population (Review)
. Aging, with the progressive deterioration and functional decline of several organ systems, is highly hetero‑ geneous for both between and within individuals. Tumor markers are widely used in clinical practice as a screening test for individuals >50 years of age. More specifically, caring for elderly patients is a public health concern, given the incidence of cancer and its related mortality and morbidity. A multidisci‑ plinary diagnostic procedure known as a geriatric assessment is capable of identifying functional, psychological and physi‑ ological issues that are missed by standard evaluation. The present review focuses on cancers affecting the geriatric population, highlights current opportunities and challenges, and highlights the unmet need for clinically relevant tumor markers in elderly patients with cancer. A comprehensive geriatric examination, including a biological assessment, still requires conveniently available tumor markers and their levels in older populations in order to forecast deterioration or loss of functional balance. These tumor indicators ought to make it possible to track patients using other outcomes, such overall survival and functional impairment. Despite the notable progress made in the understanding of human biology, the mechanisms and networks underlying aging remain largely unknown. In addition, as elderly patients are a highly heterogeneous population, age‑related changes cannot be distinguished solely by chronological age. Strong clinical studies, well‑established protocols and meta‑analyses may contribute to the better utilization of tumor biomarkers in the elderly population. Hence, the present review addresses the effects of aging on tumor markers and the usefulness of tumor marker values for the geriatric population.
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