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唇癌、口腔癌和咽癌:全球流行病学、危险因素及预防:一篇叙述性综述

Lip, Oral Cavity, and Pharyngeal Cancers: Global Epidemiology, Risk Factors, and Prevention: A Narrative Review.

作者信息

Ebrahimi Rasoul, Masouri Mohammad Mahdi, Razeghian Iman, Azad Ghazal, Nejadghaderi Seyed Aria

机构信息

School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran.

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran.

出版信息

Health Sci Rep. 2025 Sep 25;8(10):e71289. doi: 10.1002/hsr2.71289. eCollection 2025 Oct.

Abstract

BACKGROUND AND AIMS

Lip, oral cavity, and pharyngeal cancers (LOPC) are malignancies arising in the lip, oral cavity, and pharyngeal tissues, often asymptomatic in early stages. We aimed to perform a narrative review of the literature on the global LOPC epidemiology, economic burden, risk factors, as well as preventive strategies.

METHODS

A comprehensive search was conducted in PubMed and Google Scholar up to June 2024, using keywords related to lip, oral, and pharyngeal cancers.

RESULTS

There are several risk factors for these cancers, including tobacco smoking, alcohol consumption, low socioeconomic status, dietary factors (high meat and low fruits or vegetables consumption), genetics, radiation exposure, demographic factors, poor oropharyngeal health, human papillomavirus (HPV) infection, occupational exposures, and other factors, such as family history of cancer. Preventive strategies such as increasing public awareness, promoting routine dental check-ups, and expanding HPV vaccination coverage can play a role in reducing the burden of these cancers.

CONCLUSION

LOPC remain a significant global health issue due to high incidence and mortality rates and various modifiable risk factors. Effective strategies targeting these factors, along with continued research on prevention and innovative treatments, are essential to reduce this burden and improve public health outcomes.

摘要

背景与目的

唇、口腔和咽癌(LOPC)是发生于唇、口腔和咽组织的恶性肿瘤,早期通常无症状。我们旨在对全球唇、口腔和咽癌的流行病学、经济负担、危险因素以及预防策略的文献进行叙述性综述。

方法

截至2024年6月,在PubMed和谷歌学术上进行了全面检索,使用了与唇、口腔和咽癌相关的关键词。

结果

这些癌症存在多种危险因素,包括吸烟、饮酒、社会经济地位低下、饮食因素(高肉类摄入和低水果或蔬菜摄入)、遗传、辐射暴露、人口统计学因素、口咽健康状况差、人乳头瘤病毒(HPV)感染、职业暴露以及其他因素,如癌症家族史。提高公众意识、促进定期口腔检查以及扩大HPV疫苗接种覆盖率等预防策略可在减轻这些癌症负担方面发挥作用。

结论

由于高发病率和死亡率以及各种可改变的危险因素,唇、口腔和咽癌仍然是一个重大的全球健康问题。针对这些因素的有效策略,以及对预防和创新治疗的持续研究,对于减轻这一负担和改善公众健康结果至关重要。

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