胃肠道恶性肿瘤

Gastrointestinal Malignancies.

作者信息

Sonnenberg William R

机构信息

Titusville Area Hospital, 406 West Spruce Street, Titusville, PA 16354, USA; Department of Family & Community Medicine, Penn State Milton S. Hershey Medical Center, 500 University Dr., H154/C1626, Hershey, PA 17033, USA.

出版信息

Prim Care. 2017 Dec;44(4):721-732. doi: 10.1016/j.pop.2017.07.013.

DOI:10.1016/j.pop.2017.07.013

PMID:29132531

Abstract

This article reviews esophageal, gastric, and colon cancers for the primary care physician. Risk factors, demographics, and screening are discussed. The rise of Western lifestyle has been a mixed blessing for these cancers. Our modern world has led to the decline of gastric cancer from the leading cause of cancer death before the 1930s to the 13th leading cause of cancer death now. Conversely, esophageal cancer is increasing faster than any other cancer. Screening for esophageal and gastric cancer is not practical in the West, but screening for colon cancer is gratifying for the patient and physician.

摘要

本文为基层医疗医生综述了食管癌、胃癌和结肠癌。讨论了风险因素、人口统计学特征及筛查情况。西方生活方式的兴起对这些癌症来说利弊参半。我们的现代世界已使胃癌从20世纪30年代前癌症死亡的首要原因降至如今的第13大癌症死亡原因。相反，食管癌的增长速度比其他任何癌症都要快。在西方，对食管癌和胃癌进行筛查并不实际，但对结肠癌进行筛查对患者和医生来说都令人满意。