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口腔癌的流行病学、诊断与治疗——最新综述

Epidemiology, Diagnostics, and Therapy of Oral Cancer-Update Review.

作者信息

Kijowska Julia, Grzegorczyk Julia, Gliwa Katarzyna, Jędras Aleksandra, Sitarz Monika

机构信息

Department of Conservative Dentistry with Endodontics, Medical University of Lublin, ul. Chodźki 6, 20-093 Lublin, Poland.

出版信息

Cancers (Basel). 2024 Sep 14;16(18):3156. doi: 10.3390/cancers16183156.

Abstract

Oral cavity and lip cancers are the 16th most common cancer in the world. It is widely known that a lack of public knowledge about precancerous lesions, oral cancer symptoms, and risk factors leads to diagnostic delay and therefore a lower survival rate. Risk factors, which include drinking alcohol, smoking, HPV infection, a pro-inflammatory factor-rich diet, and poor oral hygiene, must be known and avoided by the general population. Regular clinical oral examinations should be enriched in an oral cancer search protocol for the most common symptoms, which are summarized in this review. Moreover, new diagnostic methods, some of which are already available (vital tissue staining, optical imaging, oral cytology, salivary biomarkers, artificial intelligence, colposcopy, and spectroscopy), and newly researched techniques increase the likelihood of stopping the pathological process at a precancerous stage. Well-established oral cancer treatments (surgery, radiotherapy, chemotherapy, and immunotherapy) are continuously being developed using novel technologies, increasing their success rate. Additionally, new techniques are being researched. This review presents a novel glance at oral cancer-its current classification and epidemiology-and will provide new insights into the development of new diagnostic methods and therapies.

摘要

口腔癌和唇癌是全球第16大常见癌症。众所周知,公众对癌前病变、口腔癌症状及风险因素缺乏了解,会导致诊断延迟,进而降低生存率。一般人群必须了解并避免包括饮酒、吸烟、人乳头瘤病毒(HPV)感染、富含促炎因子的饮食以及口腔卫生不良等风险因素。针对最常见症状的口腔癌筛查方案应增加定期临床口腔检查,本文综述对此进行了总结。此外,一些新的诊断方法(如活体组织染色、光学成像、口腔细胞学、唾液生物标志物、人工智能、阴道镜检查和光谱学)已可应用,新的研究技术也在不断涌现,这增加了在癌前阶段阻止病理进程的可能性。成熟的口腔癌治疗方法(手术、放疗、化疗和免疫疗法)不断采用新技术进行改进,提高了成功率。此外,新的技术也在研究中。本文综述对口腔癌——其当前分类和流行病学——进行了全新审视,并将为新诊断方法和治疗方法的发展提供新见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa3/11430737/1f7ee50f8493/cancers-16-03156-g001.jpg

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