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结直肠癌:流行病学、疾病机制以及降低发病率和死亡率的干预措施

Colorectal Cancer: Epidemiology, Disease Mechanisms and Interventions to Reduce Onset and Mortality.

作者信息

Aran Veronica, Victorino Ana Paula, Thuler Luiz Claudio, Ferreira Carlos Gil

机构信息

Clinical Research Division, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.

Clinical Research Division, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.

出版信息

Clin Colorectal Cancer. 2016 Sep;15(3):195-203. doi: 10.1016/j.clcc.2016.02.008. Epub 2016 Feb 13.

DOI:10.1016/j.clcc.2016.02.008
PMID:26964802
Abstract

Colorectal cancer (CRC) is a multifactorial disease resulting from lifestyle, genetic, and environmental factors. There are hereditary and non-hereditary CRC types; however, the majority are non-hereditary and mainly caused by somatic mutations in response to environmental factors. In past years, researchers have focused their attention on the mechanisms behind these factors and the methods of improving disease prevention and treatment. Improving the awareness of the population with regard to the benefits of a healthy lifestyle, including a balanced diet associated with exercise, could globally reduce CRC risk. The present review aims to address the current knowledge on CRC, taking into consideration the common molecular alterations upon different environmental and non-environmental factors, current and promising treatment interventions, and how all these factors may interact to positively or negatively influence CRC risk.

摘要

结直肠癌(CRC)是一种由生活方式、遗传和环境因素导致的多因素疾病。结直肠癌有遗传性和非遗传性类型;然而,大多数是非遗传性的,主要由体细胞突变引起,这些突变是对环境因素的反应。在过去几年中,研究人员将注意力集中在这些因素背后的机制以及改善疾病预防和治疗的方法上。提高人群对健康生活方式益处的认识,包括与运动相关的均衡饮食,可在全球范围内降低结直肠癌风险。本综述旨在阐述关于结直肠癌的现有知识,同时考虑不同环境和非环境因素导致的常见分子改变、当前及有前景的治疗干预措施,以及所有这些因素如何相互作用,对结直肠癌风险产生正面或负面影响。

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