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胆囊癌的流行病学、发病机制及分子遗传学:最新进展

Gallbladder cancer epidemiology, pathogenesis and molecular genetics: Recent update.

作者信息

Sharma Aarti, Sharma Kiran Lata, Gupta Annapurna, Yadav Alka, Kumar Ashok

机构信息

Aarti Sharma, Annapurna Gupta, Alka Yadav, Ashok Kumar, Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, India.

出版信息

World J Gastroenterol. 2017 Jun 14;23(22):3978-3998. doi: 10.3748/wjg.v23.i22.3978.

Abstract

Gallbladder cancer is a malignancy of biliary tract which is infrequent in developed countries but common in some specific geographical regions of developing countries. Late diagnosis and deprived prognosis are major problems for treatment of gallbladder carcinoma. The dramatic associations of this orphan cancer with various genetic and environmental factors are responsible for its poorly defined pathogenesis. An understanding to the relationship between epidemiology, molecular genetics and pathogenesis of gallbladder cancer can add new insights to its undetermined pathophysiology. Present review article provides a recent update regarding epidemiology, pathogenesis, and molecular genetics of gallbladder cancer. We systematically reviewed published literature on gallbladder cancer from online search engine PubMed (http://www.ncbi.nlm.nih.gov/pubmed). Various keywords used for retrieval of articles were Gallbladder, cancer Epidemiology, molecular genetics and bullion operators like AND, OR, NOT. Cross references were manually searched from various online search engines (http://www.ncbi.nlm.nih.gov/pubmed,https://scholar.google.co.in/, http://www.medline.com/home.jsp). Most of the articles published from 1982 to 2015 in peer reviewed journals have been included in this review.

摘要

胆囊癌是胆道的一种恶性肿瘤,在发达国家并不常见,但在发展中国家的一些特定地理区域较为常见。晚期诊断和不良预后是胆囊癌治疗的主要问题。这种罕见癌症与各种遗传和环境因素之间的显著关联导致其发病机制尚不明确。了解胆囊癌的流行病学、分子遗传学和发病机制之间的关系,可以为其尚未确定的病理生理学提供新的见解。本综述文章提供了关于胆囊癌流行病学、发病机制和分子遗传学的最新进展。我们通过在线搜索引擎PubMed(http://www.ncbi.nlm.nih.gov/pubmed)系统地回顾了已发表的关于胆囊癌的文献。用于检索文章的各种关键词有胆囊、癌症流行病学、分子遗传学以及诸如AND、OR、NOT等布尔运算符。通过各种在线搜索引擎(http://www.ncbi.nlm.nih.gov/pubmed、https://scholar.google.co.in/、http://www.medline.com/home.jsp)手动搜索交叉参考文献。本综述纳入了1982年至2015年发表在同行评审期刊上的大多数文章。

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