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乳腺癌统计数据与标志物

Breast cancer statistics and markers.

作者信息

Donepudi Mallika Siva, Kondapalli Kasturi, Amos Seelam Jeevan, Venkanteshan Pavithra

机构信息

Department of Biotechnology, Acharya Nagarjuna University, Guntur, Andhra Pradesh, India.

出版信息

J Cancer Res Ther. 2014 Jul-Sep;10(3):506-11. doi: 10.4103/0973-1482.137927.

Abstract

Breast cancer is one of the familiar diseases in women. Incidence and mortality due to cancer, particularly breast cancer has been increasing for last 50 years, even though there is a lacuna in the diagnosis of breast cancer at early stages. According to World Health Organization (WHO) 2012 reports, breast cancer is the leading cause of death in women, accounting 23% of all cancer deaths. In Asia, one in every three women faces the risk of breast cancer in their lifetime as per reports of WHO 2012. Here, the review is been focused on different breast cancer markers, that is, tissue markers (hormone receptors, human epidermal growth factor-2, urokinase plasminogen activator, plasminogen activator inhibitor, p53 and cathepsin D), genetic markers (BRAC1 and 2 and gene expression microarray technique, etc.), and serum markers (CA 15.3, BR 27.29, MCA, CA 549, carcinoembryonic antigen, oncoproteins, and cytokeratins) used in present diagnosis, but none of the mentioned markers can diagnose breast cancer at an early stage. There is a disquieting need for the identification of best diagnosing marker, which can be able to diagnose even in early stage of breast carcinogenesis.

摘要

乳腺癌是女性常见疾病之一。在过去50年里,癌症导致的发病率和死亡率,尤其是乳腺癌的发病率和死亡率一直在上升,尽管在乳腺癌的早期诊断方面存在空白。根据世界卫生组织(WHO)2012年的报告,乳腺癌是女性死亡的主要原因,占所有癌症死亡人数的23%。根据WHO 2012年的报告,在亚洲,每三名女性中就有一人在其一生中面临患乳腺癌的风险。在此,本综述聚焦于不同的乳腺癌标志物,即组织标志物(激素受体、人表皮生长因子-2、尿激酶型纤溶酶原激活剂、纤溶酶原激活剂抑制剂、p53和组织蛋白酶D)、基因标志物(BRAC1和2以及基因表达微阵列技术等)以及目前诊断中使用的血清标志物(CA 15.3、BR 27.29、MCA、CA 549、癌胚抗原、癌蛋白和细胞角蛋白),但上述任何一种标志物都无法在早期诊断出乳腺癌。迫切需要鉴定出最佳诊断标志物,该标志物甚至能够在乳腺癌发生的早期阶段进行诊断。

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