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英国达勒姆郡的结直肠癌——一项临床与统计学研究

Colorectal Cancer in County Durham-England a Clinical and Statistical Study.

作者信息

Ilie Daniel Sorin, Şerbanescu Mircea-Sebastian, Ionovici Nina, Busuioc Cristina Jana, Mogoantă Laurenţiu

机构信息

PhD Student, Doctoral School, Department of Histology, University of Medicine and Pharmacy of Craiova, Romania.

Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Craiova, Romania.

出版信息

Curr Health Sci J. 2021 Jul-Sep;47(3):338-347. doi: 10.12865/CHSJ.47.03.02. Epub 2021 Sep 30.

Abstract

Colorectal cancer is one of the most frequently occurring malignancies which associates increasing mortality and morbidity rates. According to data provided by the World Health Organization, colorectal cancer deaths account for approximately 13% of all cancer fatalities. The carcinogenesis of this type of malignancy is a very complex process characterized by various molecular changes which in turn are influenced by factors likes sex, diet, intestinal microbiota, exposure to environmental factors, hosts' immune response and also genetic factors. Our study looked at a total number of 1024 patients, which were all diagnosed with colorectal cancer in a hospital in the north of England, a country that is known for both a high prevalence of this type of cancer but also its robust screening programmers. In our analyses, we concluded that this type of malignancies affected mostly males, aged between 60 and 80. The most commonly affected regions were the rectum, the sigmoid colon and also the cecum. The majority of colorectal cancers (51%) were diagnosed by GPs (general practitioners) or other medical specialties; 43.55% of all cases presented as surgical emergencies and 5.47% were diagnosed through national screening programs. Majority of tumors were diagnosed in late stages, mainly T3 and T4 whilst in was observed that rectal cancers were mainly diagnosed in T2 and T3 stages.

摘要

结直肠癌是最常见的恶性肿瘤之一,其死亡率和发病率不断上升。根据世界卫生组织提供的数据,结直肠癌死亡人数约占所有癌症死亡人数的13%。这种恶性肿瘤的致癌过程是一个非常复杂的过程,其特征是各种分子变化,而这些变化又受到性别、饮食、肠道微生物群、接触环境因素、宿主免疫反应以及遗传因素等的影响。我们的研究共观察了1024例患者,他们均在英国北部的一家医院被诊断为结直肠癌,英国以这种癌症的高发病率及其完善的筛查计划而闻名。在我们的分析中,我们得出结论,这种恶性肿瘤主要影响60至80岁的男性。最常受影响的部位是直肠、乙状结肠和盲肠。大多数结直肠癌(51%)由全科医生或其他医学专科诊断;所有病例中有43.55%表现为外科急症,5.47%通过国家筛查计划诊断。大多数肿瘤在晚期被诊断出来,主要是T3和T4期,而观察到直肠癌主要在T2和T3期被诊断出来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cdd/8679160/bea7e863be36/CHSJ-47-03-338-fig1.jpg

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