Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China.
Department of Traditional Chinese Medicine, Peking University Third Hospital, Beijing 100191, China.
World J Gastroenterol. 2024 Nov 28;30(44):4741-4744. doi: 10.3748/wjg.v30.i44.4741.
Colorectal cancer is a malignant tumor with the third and second highest incidence and mortality rates worldwide, and its mortality rate is increasing annually. Colorectal cancer evolves gradually over a long period of time. The evolving process from colorectal adenoma to colorectal cancer takes approximately 10-15 years, providing a sufficiently long "window period" for early screening and diagnosis of colorectal cancer. The recurrence and mortality rates can be controlled at a low level with an early intervention. Metaxas sum-marized existing screening methods and their applicable scope in a recent publication. Moreover, they provide suggestions on how to improve adherence. This editorial provides a commentary on their article and discuss the roles of different screening methods in the early screening of colorectal cancer.
结直肠癌是一种恶性肿瘤，其发病率和死亡率在全球范围内分别位居第三和第二，且死亡率呈逐年上升趋势。结直肠癌的发生是一个长期的、逐渐演变的过程，从结直肠腺瘤演变为结直肠癌大约需要 10-15 年，这为结直肠癌的早期筛查和诊断提供了足够长的“窗口期”。早期干预可以将复发率和死亡率控制在较低水平。Metaxas 等人在最近的一篇出版物中总结了现有的筛查方法及其适用范围，并就如何提高依从性提出了建议。本文对其文章进行了评论，并探讨了不同筛查方法在结直肠癌早期筛查中的作用。
