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结直肠癌的筛查:方法与策略

Screening of colorectal cancer: Methods and strategies.

作者信息

Liao Zhen, Guo Jin-Tao, Yang Fan, Wang Shu-Peng, Sun Si-Yu

机构信息

Department of Gastroenterology, Engineering Research Center of Ministry of Education for Minimally Invasive Gastrointestinal Endoscopic Techniques, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

出版信息

World J Clin Oncol. 2024 Jul 24;15(7):799-805. doi: 10.5306/wjco.v15.i7.799.

Abstract

Colorectal cancer (CRC) has high incidence and mortality rates, and the emergence and application of CRC screening have helped us effectively control the occurrence and development of CRC. Currently, common international screening methods include tests based on feces and blood, and examination methods that allow for visualization, such as sigmoidoscopy and colonoscopy. Some methods have been widely used, whereas others such as multi-target stool RNA test are still being explored and developed, and are expected to become front-line screening methods for CRC in the future. The choice of screening method is affected by external conditions and the patients' situation, and the clinician must choose an appropriate strategy according to the actual situation and the patient's wishes. This article introduces various CRC screening methods and analyzes the factors relevant to the screening strategy.

摘要

结直肠癌(CRC)的发病率和死亡率都很高,CRC筛查的出现和应用有助于我们有效控制CRC的发生和发展。目前,国际上常见的筛查方法包括基于粪便和血液的检测,以及允许可视化的检查方法,如乙状结肠镜检查和结肠镜检查。一些方法已被广泛使用,而其他方法如多靶点粪便RNA检测仍在探索和开发中,有望在未来成为CRC的一线筛查方法。筛查方法的选择受外部条件和患者情况的影响,临床医生必须根据实际情况和患者意愿选择合适的策略。本文介绍了各种CRC筛查方法,并分析了与筛查策略相关的因素。

本文引用的文献

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Ultrasound elastography.超声弹性成像
Endosc Ultrasound. 2022 Jul-Aug;11(4):252-274. doi: 10.4103/EUS-D-21-00151.

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