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Epidemiology of Pancreatic Cancer: Global Trends, Etiology and Risk Factors

机译:胰腺癌的流行病学:全球趋势,病因学和危险因素

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Pancreatic cancer is the seventh leading cause of cancer-related deaths worldwide. However, its toll is higher in more developed countries. Reasons for vast differences in mortality rates of pancreatic cancer are not completely clear yet, but it may be due to lack of appropriate diagnosis, treatment and cataloging of cancer cases. Because patients seldom exhibit symptoms until an advanced stage of the disease, pancreatic cancer remains one of the most lethal malignant neoplasms that caused 432,242 new deaths in 2018 (GLOBOCAN 2018 estimates). Globally, 458,918 new cases of pancreatic cancer have been reported in 2018, and 355,317 new cases are estimated to occur until 2040. Despite advancements in the detection and management of pancreatic cancer, the 5-year survival rate still stands at 9% only. To date, the causes of pancreatic carcinoma are still insufficiently known, although certain risk factors have been identified, such as tobacco smoking, diabetes mellitus, obesity, dietary factors, alcohol abuse, age, ethnicity, family history and genetic factors, Helicobacter pylori infection , non-O blood group and chronic pancreatitis. In general population, screening of large groups is not considered useful to detect the disease at its early stage, although newer techniques and the screening of tightly targeted groups (especially of those with family history), are being evaluated. Primary prevention is considered of utmost importance. Up-to-date statistics on pancreatic cancer occurrence and outcome along with a better understanding of the etiology and identifying the causative risk factors are essential for the primary prevention of this disease.
机译:胰腺癌是全球癌症相关死亡的第七大主要原因。但是,在较发达国家中,它造成的损失更高。胰腺癌死亡率差异巨大的原因尚不完全清楚,但这可能是由于缺乏适当的癌症病例诊断,治疗和分类方法。由于患者直到疾病晚期才很少出现症状,因此胰腺癌仍然是最致命的恶性肿瘤之一,在2018年导致432,242例新死亡(GLOBOCAN 2018估计)。在全球范围内,2018年已报告了458,918例新的胰腺癌病例,估计到2040年将发生355,317例新病例。尽管胰腺癌的检测和管理有所进步,但5年生存率仍仅为9%。迄今为止,尽管已经确定了某些危险因素,例如吸烟,糖尿病,肥胖,饮食因素,酗酒,年龄,种族,家族病史和遗传因素,幽门螺杆菌感染,胰腺癌的原因仍知之甚少。 ,非O型血型和慢性胰腺炎。在一般人群中,尽管正在评估更新的技术和针对性强的人群(尤其是有家族病史的人群)的筛查,但对大型人群的筛查对早期发现疾病没有帮助。初级预防被认为是最重要的。胰腺癌发生和结局的最新统计数据,以及对病因的更好了解和确定致病危险因素,对于预防该病至关重要。

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