• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

癌症诊断、治疗和预后的性别差异:个体化方法的原理。

Sex differences in the diagnosis, treatment and prognosis of cancer: the rationale for an individualised approach.

机构信息

Department of Medical Oncology, University Hospital of Navarra, Pamplona. IdiSNA, Navarra's Health Research Institute, Irunlarrea 3, 31190, Pamplona, Spain.

Department of Medical Oncology, University Hospital La Fe, Valencia, Spain.

出版信息

Clin Transl Oncol. 2023 Jul;25(7):2069-2076. doi: 10.1007/s12094-023-03112-w. Epub 2023 Feb 18.

DOI:10.1007/s12094-023-03112-w
PMID:36802013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10250517/
Abstract

BACKGROUND

Precision medicine in oncology aims to identify the most beneficial interventions based on a patient's individual features and disease. However, disparities exist when providing cancer care to patients based on an individual's sex.

OBJECTIVE

To discuss how sex differences impact the epidemiology, pathophysiology, clinical manifestations, disease progression, and response to treatment, with a focus on data from Spain.

RESULTS

Genetic and environmental factors (social or economic inequalities, power imbalances, and discrimination) that contribute to these differences adversely affect cancer patient health outcomes. Increased health professional awareness of sex differences is essential to the success of translational research and clinical oncological care.

CONCLUSIONS

The Sociedad Española de Oncología Médica created a Task Force group to raise oncologists' awareness and to implement measures to address sex differences in cancer patient management in Spain. This is a necessary and fundamental step towards optimizing precision medicine that will benefit all individuals equally and equitably.

摘要

背景

肿瘤精准医学旨在根据患者的个体特征和疾病来确定最有益的干预措施。然而,在基于个体性别为患者提供癌症护理时,存在差异。

目的

讨论性别差异如何影响流行病学、病理生理学、临床表现、疾病进展以及对治疗的反应,重点介绍来自西班牙的数据。

结果

导致这些差异的遗传和环境因素(社会或经济不平等、权力失衡和歧视)对癌症患者的健康结果产生不利影响。提高卫生专业人员对性别差异的认识,对于转化研究和临床肿瘤学护理的成功至关重要。

结论

西班牙肿瘤内科学会成立了一个工作组,旨在提高肿瘤学家的认识,并采取措施解决西班牙癌症患者管理中的性别差异。这是朝着优化精准医学迈出的必要且重要的一步,这将使所有个体平等且公平地受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dd7/10250517/6676ec4006af/12094_2023_3112_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dd7/10250517/6676ec4006af/12094_2023_3112_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dd7/10250517/6676ec4006af/12094_2023_3112_Fig1_HTML.jpg

相似文献

1
Sex differences in the diagnosis, treatment and prognosis of cancer: the rationale for an individualised approach.癌症诊断、治疗和预后的性别差异:个体化方法的原理。
Clin Transl Oncol. 2023 Jul;25(7):2069-2076. doi: 10.1007/s12094-023-03112-w. Epub 2023 Feb 18.
2
[Consensus on hereditary cancer between the Spanish Oncology Society and the primary care societies].西班牙肿瘤学会与基层医疗协会关于遗传性癌症的共识
Semergen. 2013 Jul-Aug;39(5):259-66. doi: 10.1016/j.semerg.2012.08.007. Epub 2013 Mar 13.
3
Adherence to the Sociedad Española de Oncología Médica (SEOM) Algorithm for the Treatment of Hyponatremia in Oncology Patients in Spain: The ALGA Study.西班牙肿瘤医学学会(SEOM)低钠血症治疗算法在西班牙肿瘤患者中的应用:ALGA 研究。
Adv Ther. 2021 Jan;38(1):290-303. doi: 10.1007/s12325-020-01532-6. Epub 2020 Oct 27.
4
Sexual health after breast cancer: Recommendations from the Spanish Menopause Society, Federación Española de Sociedades de Sexología, Sociedad Española de Médicos de Atención Primaria and Sociedad Española de Oncología Médica.乳腺癌后的性健康:来自西班牙更年期协会、西班牙性学学会联合会、西班牙初级保健医生协会和西班牙医学肿瘤学会的建议。
Maturitas. 2017 Nov;105:126-131. doi: 10.1016/j.maturitas.2017.02.010. Epub 2017 Feb 20.
5
The future of Cochrane Neonatal.考克兰新生儿协作网的未来。
Early Hum Dev. 2020 Nov;150:105191. doi: 10.1016/j.earlhumdev.2020.105191. Epub 2020 Sep 12.
6
American Society of Clinical Oncology policy statement update: genetic testing for cancer susceptibility.美国临床肿瘤学会政策声明更新:癌症易感性基因检测
J Clin Oncol. 2003 Jun 15;21(12):2397-406. doi: 10.1200/JCO.2003.03.189. Epub 2003 Apr 11.
7
Consensus statement of the Spanish Society of Internal Medicine and the Spanish Society of Medical Oncology on secondary thromboprophylaxis in patients with cancer.《西班牙内科学会和西班牙肿瘤医学学会关于癌症患者二级血栓预防的共识声明》
Clin Transl Oncol. 2021 Apr;23(4):697-708. doi: 10.1007/s12094-020-02477-6. Epub 2020 Sep 3.
8
Multidisciplinary consensus on cancer management during pregnancy.多学科共识:妊娠期癌症管理
Clin Transl Oncol. 2021 Jun;23(6):1054-1066. doi: 10.1007/s12094-020-02491-8. Epub 2020 Nov 16.
9
Generalists and oncologists show similar care practices and outcomes for hospitalized late-stage cancer patients. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks for Treatment.对于住院的晚期癌症患者,全科医生和肿瘤学家的护理方式及治疗效果相似。支持性治疗研究组。了解预后及对治疗结果和风险的偏好的研究。
Med Care. 2000 Nov;38(11):1103-18. doi: 10.1097/00005650-200011000-00005.
10
Treating sex and gender differences as a continuous variable can improve precision cancer treatments.将性别差异视为连续变量可以提高癌症治疗的精准度。
Biol Sex Differ. 2024 Apr 15;15(1):35. doi: 10.1186/s13293-024-00607-1.

引用本文的文献

1
Prognostic influence of chronic inflammation in patients with head and neck cancer based on sex differences.基于性别差异探讨慢性炎症对头颈部癌患者的预后影响。
Clin Exp Metastasis. 2025 Aug 22;42(5):50. doi: 10.1007/s10585-025-10363-0.
2
Sex-Based Differences in Medullary Thyroid Cancer Survival: A Matched Analysis of 4602 Patients.甲状腺髓样癌生存的性别差异:4602例患者的匹配分析
Ann Surg Oncol. 2025 Aug 21. doi: 10.1245/s10434-025-18067-1.
3
Sex-Related Differences in Glioblastoma: A Single-Center Retrospective Cohort Study.胶质母细胞瘤的性别差异:一项单中心回顾性队列研究。
Biomedicines. 2025 Jul 14;13(7):1715. doi: 10.3390/biomedicines13071715.
4
Gender and sex interactions are intrinsic components of cancer phenotypes.性别与性别的相互作用是癌症表型的内在组成部分。
Nat Rev Cancer. 2025 May 19. doi: 10.1038/s41568-025-00829-4.
5
Sex and gender differences in cancer research and its application to clinical oncology and therapeutics.癌症研究中的性别差异及其在临床肿瘤学与治疗学中的应用。
Clinics (Sao Paulo). 2025 May 12;80:100670. doi: 10.1016/j.clinsp.2025.100670. eCollection 2025.
6
Sex-related differences in the efficacy and toxicity of cancer treatments.癌症治疗疗效与毒性的性别差异。
Clin Transl Oncol. 2025 Mar 28. doi: 10.1007/s12094-025-03893-2.
7
A Pan-Cancer Analysis of Age and Sex Differences in Cancer Incidence and Survival in the United States, 2001-2020.2001 - 2020年美国癌症发病率和生存率的年龄与性别差异的全癌分析
Cancers (Basel). 2025 Jan 24;17(3):378. doi: 10.3390/cancers17030378.
8
Sex differences in presentation of pheochromocytoma and paraganglioma.嗜铬细胞瘤和副神经节瘤临床表现中的性别差异。
Front Endocrinol (Lausanne). 2025 Jan 23;16:1463945. doi: 10.3389/fendo.2025.1463945. eCollection 2025.
9
Gender and sex differences in colorectal cancer screening, diagnosis and treatment.结直肠癌筛查、诊断和治疗中的性别差异。
Clin Transl Oncol. 2025 Jan 17. doi: 10.1007/s12094-024-03801-0.
10
Cardiovascular toxicity induced by TKIs in patients with chronic myeloid leukaemia: Are women and men different?酪氨酸激酶抑制剂对慢性髓性白血病患者的心血管毒性:男性和女性有差异吗?
ESC Heart Fail. 2025 Apr;12(2):1447-1454. doi: 10.1002/ehf2.15165. Epub 2025 Jan 9.

本文引用的文献

1
Sex-based differences in histology, staging, and prognosis among 2983 gastric cancer surgery patients.2983 例胃癌手术患者的组织学、分期和预后的性别差异。
World J Gastroenterol. 2022 Mar 7;28(9):933-947. doi: 10.3748/wjg.v28.i9.933.
2
Sex disparities in DNA damage response pathways: Novel determinants in cancer formation and therapy.DNA损伤反应途径中的性别差异:癌症形成与治疗中的新决定因素。
iScience. 2022 Feb 4;25(3):103875. doi: 10.1016/j.isci.2022.103875. eCollection 2022 Mar 18.
3
Pan-cancer analysis reveals sex-specific signatures in the tumor microenvironment.泛癌分析揭示了肿瘤微环境中的性别特异性特征。
Mol Oncol. 2022 Jun;16(11):2153-2173. doi: 10.1002/1878-0261.13203. Epub 2022 Mar 12.
4
Does sex matter? Analysis of sex-related differences in the diagnostic performance of a market-approved convolutional neural network for skin cancer detection.性别有影响吗?市场批准的用于皮肤癌检测的卷积神经网络的诊断性能的性别相关差异分析。
Eur J Cancer. 2022 Mar;164:88-94. doi: 10.1016/j.ejca.2021.12.034. Epub 2022 Feb 16.
5
Sex Differences in Risk of Severe Adverse Events in Patients Receiving Immunotherapy, Targeted Therapy, or Chemotherapy in Cancer Clinical Trials.癌症临床试验中接受免疫治疗、靶向治疗或化疗的患者发生严重不良事件的风险的性别差异。
J Clin Oncol. 2022 May 1;40(13):1474-1486. doi: 10.1200/JCO.21.02377. Epub 2022 Feb 4.
6
Investigation of sex and gender differences in oncology gains momentum: ESMO announces the launch of a Gender Medicine Task Force.肿瘤学领域关于性别差异的研究势头正劲:欧洲肿瘤内科学会宣布成立性别医学特别工作组。
Ann Oncol. 2022 Feb;33(2):126-128. doi: 10.1016/j.annonc.2021.11.011. Epub 2022 Jan 17.
7
Non-Melanoma Skin Cancer Mortality in Spain: A Predictive Model up to 2044.西班牙非黑色素瘤皮肤癌死亡率:至2044年的预测模型
J Clin Med. 2021 Dec 8;10(24):5750. doi: 10.3390/jcm10245750.
8
Are there differences by sex in lung cancer characteristics at diagnosis? -a nationwide study.肺癌诊断时的特征在性别上是否存在差异?——一项全国性研究。
Transl Lung Cancer Res. 2021 Oct;10(10):3902-3911. doi: 10.21037/tlcr-21-559.
9
Trends in lung cancer incidence by age, sex and histology from 2012 to 2025 in Catalonia (Spain).2012 年至 2025 年加泰罗尼亚(西班牙)肺癌发病率的年龄、性别和组织学趋势。
Sci Rep. 2021 Dec 2;11(1):23274. doi: 10.1038/s41598-021-02582-8.
10
Association Between Sex and Immune Checkpoint Inhibitor Outcomes for Patients With Melanoma.性别与黑色素瘤患者免疫检查点抑制剂治疗结局的相关性。
JAMA Netw Open. 2021 Dec 1;4(12):e2136823. doi: 10.1001/jamanetworkopen.2021.36823.