Toma S C, Ungureanu B S, Patrascu S, Surlin V, Georgescu I
Ist Clinic of Surgery, Emergency Clinic County Hospital of Craiova, Romania.
Research Center of Gastroenterology and Hepatology of Craiova, Romania.
Curr Health Sci J. 2018 Apr-Jun;44(2):140-146. doi: 10.12865/CHSJ.44.02.08. Epub 2018 Mar 27.
Colorectal cancer (CRC) is one of the most widespread malignancy, posing as a great challenge due to its high incidence and mortality in both genders. Yet, it also stands as one of the most preventable diseases because of its known malignant transformation mostly from tubular adenomas or serrated polyps, therefore offering a strong incentive to the screening programs that are being developed for this disease. Current diagnosis of CRC has surely evolved along with the evolutionary step in gastrointestinal technology of flexible endoscopy. These innovations have promoted colonoscopy as a primary choice for screening programs of colonic lesions, proving to be of great benefit for patient's well-being. In this review, we present the current status of CRC screening methods from the non-invasive options to the long developed colonoscopic and imaging techniques. We search through PubMed and Medline databases and chose relevant articles on CRC with focus on blood based biomarkers and stool based tests. Additional relevant publications were also according to the reference lists of firstly identified articles.
结直肠癌(CRC)是最常见的恶性肿瘤之一,由于其在男女中的高发病率和死亡率,构成了巨大挑战。然而,它也是最可预防的疾病之一,因为其已知的恶性转化大多源于管状腺瘤或锯齿状息肉,因此为针对该疾病开展的筛查项目提供了强大动力。随着柔性内镜在胃肠技术方面的发展,CRC的当前诊断方法也确实有所进步。这些创新推动结肠镜检查成为结肠病变筛查项目的主要选择,事实证明这对患者的健康大有裨益。在本综述中,我们介绍了CRC筛查方法的现状,从非侵入性选项到长期发展的结肠镜检查和成像技术。我们检索了PubMed和Medline数据库,并选择了有关CRC的相关文章,重点关注基于血液的生物标志物和基于粪便的检测。还根据首先确定的文章的参考文献列表纳入了其他相关出版物。