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从行为学到跨学科治疗:现代医学的收益与挑战。管理结直肠癌

Managing Colorectal Cancer from Ethology to Interdisciplinary Treatment: The Gains and Challenges of Modern Medicine.

机构信息

Department of Human Anatomy, Medical University of Lublin, 20-950 Lublin, Poland.

General Surgery Ward, Independent Health Center in Kraśnik, 23-200 Kraśnik, Poland.

出版信息

Int J Mol Sci. 2024 Feb 7;25(4):2032. doi: 10.3390/ijms25042032.

Abstract

Colorectal cancer (CRC) is a common malignant tumor of the gastrointestinal tract, which has become a serious threat to human health worldwide. This article exhaustively reviews colorectal cancer's incidence and relevance, carcinogenesis molecular pathways, up-to-date treatment opportunities, prophylaxis, and screening program achievements, with attention paid to its regional variations and changes over time. This paper provides a concise overview of known CRC risk factors, including familial, hereditary, and environmental lifestyle-related risk factors. The authors take a closer look into CRC's molecular genetic pathways and the role of specific enzymes involved in carcinogenesis. Moreover, the role of the general practitioner and multidisciplinary approach in CRC treatment is summarized and highlighted based on recent recommendations and experience. This article gives a clear understanding and review of the gains and challenges of modern medicine towards CRC. The authors believe that understanding the current patterns of CRC and its revolution is imperative to the prospects of reducing its burden through cancer prevention and cancer-adjusted treatment.

摘要

结直肠癌(CRC)是一种常见的胃肠道恶性肿瘤,已成为全球范围内严重威胁人类健康的问题。本文全面回顾了结直肠癌的发病率和相关性、致癌分子途径、最新的治疗机会、预防措施和筛查计划的成就,并特别关注其区域性差异和随时间的变化。本文简要概述了已知的结直肠癌危险因素,包括家族性、遗传性和环境生活方式相关的危险因素。作者深入研究了结直肠癌的分子遗传途径以及参与致癌的特定酶的作用。此外,根据最新的建议和经验,总结并强调了全科医生和多学科方法在 CRC 治疗中的作用。本文对现代医学在 CRC 方面的进展和挑战进行了清晰的理解和综述。作者认为,了解 CRC 的当前模式及其变革对于通过癌症预防和调整后的癌症治疗来降低其负担的前景至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2908/10889298/5c0bc8a0e823/ijms-25-02032-g001.jpg

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