Zhong Min'er, Wu Bin
Department of General Surgery,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2021 Dec 30;43(6):980-985. doi: 10.3881/j.issn.1000-503X.12867.
Right-sided colon cancer and left-sided colorectal cancer have significant differences in epidemiology,clinical features,tumor differentiation,response to treatment,prognosis,and molecular characteristics.The former has lower prevalence than the latter and is mainly associated with female and elderly patients,with poor tumor differentiation,strong invasion,poor prognosis,and weak response to epidermal growth factor receptor inhibitors.Thus,it is generally believed that the primary location of colorectal cancer is closely associated with prognosis,acting as an independent prognostic factor for therapeutic efficacy.Recent studies have revealed the genetic differences between right-sided colon cancer and left-sided colorectal cancer,providing explanations for the biological differences.This review summarizes the recent advances on the differences between left-and right-sided colorectal cancer.
右半结肠癌和左半结肠癌在流行病学、临床特征、肿瘤分化、治疗反应、预后及分子特征等方面存在显著差异。前者的发病率低于后者,主要与女性及老年患者相关,肿瘤分化差、侵袭性强、预后不良,对表皮生长因子受体抑制剂反应较弱。因此,一般认为结直肠癌的原发部位与预后密切相关,是治疗疗效的独立预后因素。近期研究揭示了右半结肠癌和左半结肠癌之间的基因差异,为生物学差异提供了解释。本文综述了左半结肠癌和右半结肠癌差异的最新研究进展。