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女性喉癌:揭示特定性别的风险因素、治疗挑战及生存差异

Laryngeal Cancer in Women: Unveiling Gender-Specific Risk Factors, Treatment Challenges, and Survival Disparities.

作者信息

Verro Barbara, Fiumara Simona, Saraniti Giuseppe, Saraniti Carmelo

机构信息

Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy.

Speech Therapist, Private Practice, 90100 Palermo, Italy.

出版信息

Curr Oncol. 2024 Dec 29;32(1):19. doi: 10.3390/curroncol32010019.

Abstract

Laryngeal cancer is one of the main causes of morbidity and mortality worldwide, with a significantly higher prevalence among men than women. However, the incidence, clinical characteristics, and specific treatment of laryngeal cancer in women have often been overlooked by research. This review aims to examine gender differences in incidence, risk factors, hormonal mechanisms, survival, and therapeutic approaches for laryngeal cancer in women. Although smoking and alcohol remain the main risk factors, evidence suggests that women may be more vulnerable to the harmful effects of these behaviors, with a relative higher risk than men. In addition, hormonal factors such as estrogen may influence women's susceptibility to laryngeal cancer, accelerating tumor growth and complicating treatment. Differences in treatment between the sexes, with women tending to receive less intensive treatment than men, is another crucial aspect that needs more attention. This article also analyses the disparities in survival, highlighting that women often have a better prognosis, although this trend varies according to demographic characteristics and the health system. The increasing incidence of laryngeal cancer in women requires increased research to fully understand risk factors and underlying biological mechanisms in order to develop more personalized treatments and optimize clinical outcomes for patients.

摘要

喉癌是全球发病和死亡的主要原因之一,男性患病率显著高于女性。然而,女性喉癌的发病率、临床特征及具体治疗方法常被研究忽视。本综述旨在探讨女性喉癌在发病率、危险因素、激素机制、生存率及治疗方法方面的性别差异。尽管吸烟和饮酒仍是主要危险因素,但有证据表明,女性可能更容易受到这些行为有害影响,相对男性风险更高。此外,雌激素等激素因素可能影响女性对喉癌的易感性,加速肿瘤生长并使治疗复杂化。男女在治疗上的差异,即女性往往比男性接受的治疗强度更低,是另一个需要更多关注的关键方面。本文还分析了生存率差异,强调女性通常预后较好,尽管这一趋势因人口统计学特征和卫生系统而异。女性喉癌发病率的上升需要更多研究,以全面了解危险因素和潜在生物学机制,从而为患者制定更个性化的治疗方案并优化临床结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a58/11764012/ab060c7f197c/curroncol-32-00019-g001.jpg

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