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胰腺癌诊断与治疗中的差距与机遇

Gaps and Opportunities in the Diagnosis and Treatment of Pancreatic Cancer.

作者信息

Caban Miłosz, Małecka-Wojciesko Ewa

机构信息

Department of Digestive Tract Diseases, Medical University of Lodz, 90-153 Lodz, Poland.

出版信息

Cancers (Basel). 2023 Nov 25;15(23):5577. doi: 10.3390/cancers15235577.

Abstract

Pancreatic cancer is one of the leading causes off cancer-related deaths globally. In Europe, this type of cancer has the lowest survival rate of all cancers. A majority of patients have unresectable or even metastatic disease. In addition, actual therapeutic options are not curative, and surgical treatment is associated with high post-operative morbidity and a lack of uniform translation of surgical success into long-term survival. Moreover, there is no screening for the general population which is recommended, and the overall poor prognosis in pancreatic cancer is related to late clinical detection. Therefore, early diagnosis and early treatment of pancreatic cancer are particularly critical. In this review, we summarize the most significant gaps and opportunities in the diagnosis and treatment of pancreatic cancer to emphasize need for improvement of early detection and the therapeutic efficacy of the available treatment for this cancer. Novel, inclusive, and intentional research is needed to produce improvements in pancreatic cancer in mm the world.

摘要

胰腺癌是全球癌症相关死亡的主要原因之一。在欧洲,这类癌症在所有癌症中的生存率最低。大多数患者患有不可切除甚至转移性疾病。此外,现有的治疗方案并非治愈性的,手术治疗术后发病率高,且手术成功并不能统一转化为长期生存。而且,目前不建议对普通人群进行筛查,胰腺癌总体预后较差与临床发现较晚有关。因此,胰腺癌的早期诊断和早期治疗尤为关键。在本综述中,我们总结了胰腺癌诊断和治疗中最显著的差距和机会,以强调改善早期检测和现有治疗方法对该癌症的治疗效果的必要性。需要开展新颖、全面且有针对性的研究,以在全球范围内改善胰腺癌的治疗情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e17/10705522/78c771361f9b/cancers-15-05577-g001.jpg

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