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用于胰腺癌筛查的风险因素、生物标志物及成像技术。

Risk factors, biomarker and imaging techniques used for pancreatic cancer screening.

作者信息

Thomas Cyrus

机构信息

Life Sciences Centre, University of British Columbia, Vancouver, Canada.

出版信息

Chin Clin Oncol. 2017 Dec;6(6):61. doi: 10.21037/cco.2017.12.06.

Abstract

Pancreatic cancer (PC) is one of the most lethal epithelial malignancies. There have been many attempts aimed at improving survival rates; however, the fatality of PC has been attributed to its few, nonspecific and diverse symptoms that delay diagnosis, rapid metastatic progression and overall treatment resistance. The aggressive nature of PC has stimulated interest in detecting smaller asymptomatic cancers or precursor lesions that are more likely to be curable. This review discusses potential risk factors including lifestyle and genetic variables that are believed to be the most important in contributing to the development of PC. In addition, we focus our review on emerging literature to compare and contrast current screening strategies including biomarkers and imaging modalities with regards to detecting early PC. It is hoped that in the future, biomarker development will be supported by novel techniques in medical imaging that are currently being developed and tested to ultimately lead to earlier detection and increased cure for this fatal disease.

摘要

胰腺癌(PC)是最致命的上皮性恶性肿瘤之一。人们已进行了许多旨在提高生存率的尝试;然而,PC的致命性归因于其症状较少、不具特异性且多样,从而导致诊断延迟、转移进展迅速以及总体治疗抵抗。PC的侵袭性促使人们对检测更易治愈的较小无症状癌症或癌前病变产生兴趣。本综述讨论了潜在风险因素,包括被认为在PC发生发展中最为重要的生活方式和基因变量。此外,我们将综述重点放在新兴文献上,以比较和对比当前的筛查策略,包括用于检测早期PC的生物标志物和成像方式。希望未来生物标志物的开发能得到目前正在研发和测试的医学成像新技术的支持,最终实现对这种致命疾病的更早检测和更高治愈率。

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