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伊朗胰腺癌:一项流行病学综述。

Pancreatic Cancer in Iran: an Epidemiological Review.

机构信息

Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

J Gastrointest Cancer. 2020 Jun;51(2):418-424. doi: 10.1007/s12029-019-00279-w.

Abstract

PURPOSE

Pancreatic cancer is the seventh cause of death in men in the world and also is one of the most common malignancies worldwide with poor prognosis. Due to the lack of epidemiological aspects of pancreatic cancer in Iran, this study aimed to investigate the epidemiological aspects of pancreatic cancer in Iran.

METHODS

In February 2019, A search was conducted with the keywords "Pancreatic Neoplasm," "Pancreas Neoplasms," "Cancer of Pancreas," "Pancreas Cancer," "Pancreatic Cancer," "Cancer of the Pancreas," and "Iran" in their title or abstract and MeSH. The databases of Medline, Web of Science, Scopus, SID, IranMedex, and Google Scholar were searched. The title and abstract of the papers were reviewed, and articles that addressed the epidemiological aspects of pancreatic cancer were included; in total, 20 full papers were reviewed.

RESULTS

According to studies, the incidence and mortality rate of pancreatic cancer is steadily increasing with age. Actually, men are more likely to develop this carcinoma than women. Smoking, aging, and lifestyle changes are the most important risk factors for pancreatic cancer in Iran. Due to the lack of initial symptoms or a specific marker for early diagnosis of pancreatic cancer, this cancer is detected lately and therefore low survival rate is observed.

CONCLUSION

Mortality and incidence of pancreatic cancer is increasing in Iran. Pancreatic cancer is more common in men than women. Based on the results of this study, pancreatic cancer depends largely on the lifestyle. Survival of pancreatic cancer is low in untreated patients.

摘要

目的

胰腺癌是全球男性第七大死因,也是全球最常见的恶性肿瘤之一,预后较差。由于伊朗缺乏胰腺癌的流行病学资料,本研究旨在探讨伊朗胰腺癌的流行病学特征。

方法

2019 年 2 月,我们以“Pancreatic Neoplasm”“Pancreas Neoplasms”“Cancer of Pancreas”“Pancreas Cancer”“Pancreatic Cancer”“Cancer of the Pancreas”和“Iran”为关键词,在 Medline、Web of Science、Scopus、SID、IranMedex 和 Google Scholar 等数据库中进行了检索,检索词在标题或摘要和 MeSH 中出现。查阅论文的标题和摘要,纳入涉及胰腺癌流行病学特征的文章,共查阅了 20 篇全文。

结果

根据研究结果,胰腺癌的发病率和死亡率随年龄增长而稳步上升。实际上,男性比女性更容易患这种癌症。吸烟、老龄化和生活方式的改变是伊朗胰腺癌的最重要危险因素。由于胰腺癌早期缺乏症状或特定标志物,导致诊断较晚,因此生存率较低。

结论

伊朗的胰腺癌死亡率和发病率正在上升。与女性相比,男性更易患胰腺癌。根据本研究的结果,胰腺癌在很大程度上取决于生活方式。未经治疗的患者胰腺癌生存率较低。

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