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年轻人:早发性结肠癌

The Young: Early-Onset Colon Cancer.

作者信息

Cohen David, Rogers Caitlin, Gabre Joel, Dionigi Beatrice

机构信息

Department of Surgery, New York-Presbyterian/Columbia University Irving Medical Center, New York, New York.

Herbert Irving Comprehensive Cancer Research Center, Columbia University, New York, New York.

出版信息

Clin Colon Rectal Surg. 2024 Jul 2;38(3):173-178. doi: 10.1055/s-0044-1787883. eCollection 2025 May.

Abstract

Early-onset colorectal cancer (EO-CRC), characterized by diagnosis before the age of 50 years, has emerged as a significant healthcare challenge with increasing global incidence. While traditional risk factors such as family history and inherited syndromes contribute to EO-CRC, a substantial proportion of cases remain sporadic, necessitating further investigation into additional etiological factors. Molecular studies reveal heterogeneity in EO-CRC, with distinct mutational profiles compared to late-onset CRC. Clinical management presents unique considerations, including challenges in early detection and treatment strategies tailored to younger patients. Addressing EO-CRC requires a multidisciplinary approach integrating epidemiological, molecular, and clinical insights to improve prevention, diagnosis, and therapeutic outcomes. Emerging research avenues explore novel biomarkers and therapeutic targets, offering promise for advancing understanding and management of this disease in contemporary oncology practice.

摘要

早发性结直肠癌(EO-CRC)的特征是在50岁之前被诊断出来,随着全球发病率的上升,它已成为一个重大的医疗保健挑战。虽然家族病史和遗传综合征等传统风险因素会导致EO-CRC,但相当一部分病例仍然是散发性的,这就需要进一步研究其他病因。分子研究揭示了EO-CRC的异质性,与晚发性结直肠癌相比,其具有不同的突变谱。临床管理存在独特的考量,包括早期检测的挑战以及针对年轻患者量身定制的治疗策略。应对EO-CRC需要采取多学科方法,整合流行病学、分子学和临床见解,以改善预防、诊断和治疗效果。新兴的研究途径探索新的生物标志物和治疗靶点,有望在当代肿瘤学实践中增进对这种疾病的理解和管理。

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