不同机制参与结直肠癌的形成大型审查

M. Alia, Yang Wanga, Qi Zhanga
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引用次数: 0

摘要

几十年前,结直肠癌很少被诊断出来。如今,它是世界上第四大最致命的癌症,每年有近90万人死亡。几十年前,结直肠癌的发病率很低。然而,它已经成为主要的癌症,现在占西方国家癌症相关死亡率的10%左右。发达国家结直肠癌的“上升”可归因于人口日益老龄化、不良的现代饮食习惯以及吸烟、缺乏体育锻炼和肥胖等风险因素的增加。原发性和转移性结直肠癌的新治疗方法已经出现,为患者提供了额外的选择;这些治疗包括原发性疾病的腹腔镜手术,转移性疾病(如肝和肺转移)的更积极切除,直肠癌的放射治疗以及新辅助和姑息性化疗。然而,这些新的治疗方案对治愈率和长期生存率的影响有限。
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Different Mechanism Involvement in the Formation of Colorectal Cancer; Mega Review
Colorectal cancer was infrequently diagnosed several decades ago. Nowadays, it is the world's fourth most deadly cancer with almost 900,000 deaths annually. Colorectal cancer had a low incidence several decades ago. However, it has become predominant cancer and now accounts for approximately 10% of cancer-related mortality in western countries. The ‘rise’ of colorectal cancer in developed countries can be attributed to the increasingly aging population, unfavorable modern dietary habits and an increase in risk factors such as smoking, low physical exercise and obesity. New treatments for primary and metastatic colorectal cancer have emerged, providing additional options for patients; these treatments include laparoscopic surgery for primary disease, more aggressive resection of metastatic disease (such as liver and pulmonary metastases), radiotherapy for rectal cancer and neoadjuvant and palliative chemotherapies. However, these new treatment options have had a limited impact on cure rates and long-term survival.
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