Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Cancer Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Crit Rev Oncol Hematol. 2023 Oct;190:104120. doi: 10.1016/j.critrevonc.2023.104120. Epub 2023 Sep 1.
In recent years, the incidence of cancers is continuously increasing in young adults. Early-onset cancer (EOC) is usually defined as patients with cancers under the age of 50, and may represent a unique subgroup due to its special disease features. Overall, EOCs often initiate at a young age, present as a better physical performance but high degree of malignancy. EOCs also share common epidemiological and hereditary risk factors. In this review, we discuss several representative EOCs which were well studied previously. By revealing their clinical and molecular similarities and differences, we consider the group of EOCs as a unique subtype compared to ordinary cancers. In consideration of EOC as a rising threat to human health, more researches on molecular mechanisms, and large-scale, prospective clinical trials should be carried out to further translate into improved outcomes.
近年来,年轻人癌症的发病率不断上升。早发性癌症(EOC)通常被定义为年龄在 50 岁以下的癌症患者,由于其特殊的疾病特征,可能代表一个独特的亚组。总体而言,EOC 通常在年轻时发病,表现出更好的身体机能,但恶性程度高。EOC 还具有共同的流行病学和遗传危险因素。在这篇综述中,我们讨论了几个以前研究较多的有代表性的 EOC。通过揭示它们的临床和分子相似性和差异性,我们认为 EOC 组与普通癌症相比是一个独特的亚型。考虑到 EOC 对人类健康构成的日益严重的威胁,应该开展更多关于分子机制的研究和大规模前瞻性临床试验,以进一步转化为改善的治疗结果。