Department of Translational Research, Western University of Health Sciences, 309 E. Second Street, Pomona, CA 91766, USA.
Department of Research and Development, Stella Diagnostics, Inc., Salt Lake City, UT 84104, USA.
Int J Mol Sci. 2023 Feb 7;24(4):3316. doi: 10.3390/ijms24043316.
Esophageal cancer (EC) is the deadliest cancer worldwide, with a 92% annual mortality rate per incidence. Esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC) are the two major types of ECs, with EAC having one of the worst prognoses in oncology. Limited screening techniques and a lack of molecular analysis of diseased tissues have led to late-stage presentation and very low survival durations. The five-year survival rate of EC is less than 20%. Thus, early diagnosis of EC may prolong survival and improve clinical outcomes. Cellular and molecular biomarkers are used for diagnosis. At present, esophageal biopsy during upper endoscopy and histopathological analysis is the standard screening modality for both ESCC and EAC. However, this is an invasive method that fails to yield a molecular profile of the diseased compartment. To decrease the invasiveness of the procedures for diagnosis, researchers are proposing non-invasive biomarkers for early diagnosis and point-of-care screening options. Liquid biopsy involves the collection of body fluids (blood, urine, and saliva) non-invasively or with minimal invasiveness. In this review, we have critically discussed various biomarkers and specimen retrieval techniques for ESCC and EAC.
食管癌(EC)是全球最致命的癌症,发病率为 92%,死亡率为 1 年。食管癌有两种主要类型,食管鳞状细胞癌(ESCC)和食管腺癌(EAC),EAC 的预后是肿瘤学中最差的之一。有限的筛查技术和对患病组织的分子分析缺乏导致了晚期表现和极低的生存时间。EC 的 5 年生存率低于 20%。因此,早期诊断 EC 可能延长生存期并改善临床结局。细胞和分子生物标志物用于诊断。目前,上消化道内镜检查时的食管活检和组织病理学分析是 ESCC 和 EAC 的标准筛查方式。然而,这是一种有创方法,无法获得患病部位的分子图谱。为了降低诊断程序的侵袭性,研究人员正在提出用于早期诊断和即时护理筛查的非侵入性生物标志物。液体活检涉及非侵入性或最小侵入性地采集体液(血液、尿液和唾液)。在这篇综述中,我们批判性地讨论了 ESCC 和 EAC 的各种生物标志物和标本采集技术。
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