吕楠, 张宏艳, 刘端祺. 胰腺癌流行病学研究进展[J]. 中国肿瘤临床, 2007, 34(23): 1368-1372.
引用本文: 吕楠, 张宏艳, 刘端祺. 胰腺癌流行病学研究进展[J]. 中国肿瘤临床, 2007, 34(23): 1368-1372.
Lv Nan, Zhang Hong-yan, Liu Duan-qi. Advances in the Epidemiology of Pancreatic Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(23): 1368-1372.
Citation: Lv Nan, Zhang Hong-yan, Liu Duan-qi. Advances in the Epidemiology of Pancreatic Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(23): 1368-1372.

胰腺癌流行病学研究进展

Advances in the Epidemiology of Pancreatic Cancer

  • 摘要: 近年来,胰腺癌发病率呈逐年上升趋势,其早期症状不明显,临床上尚无经济、有效的早期发现方法,而且胰腺癌侵袭性强,恶性程度高,手术切除率低,预后极差,死亡率接近100%。目前,我国经济发展迅速,生活条件明显改善,已进入老龄化时代,而胰腺癌主要发病人群为60岁以上的老年人,一些与胰腺癌相关的危险因素诸如吸烟、慢性胰腺炎、肥胖、糖尿病,甚至缺乏运动等,对胰腺癌的发病均具有促进作用,探索胰腺癌发病危险因素有利于疾病正确的防治。研究显示,吸烟与胰腺癌发病的相关性最为显著,胰腺癌发病趋势与吸烟人群的变化有着密切的关系;各种慢性胰腺炎,包括酒精性、非酒精性、遗传性和热带性胰腺炎与胰腺癌均存在一定程度的联系;糖尿病可能为胰腺癌的发病病因,也可能为其在疾病早期的临床表现;饮食因素与胰腺癌的发病也有一定关系。此外,随着分子基因水平的研究进展,证实某些基因突变相关的遗传易感性与胰腺癌有一定相关性。因此,控制吸烟、饮食营养均衡、增加新鲜水果和蔬菜摄入,保持正常体重,预防糖尿病、慢性胰腺炎能够在一定程度上降低胰腺癌危险性。本文描述了胰腺癌的发病情况和发展趋势,并对胰腺癌相关危险因素的研究进展作详细介绍。

     

    Abstract: In recent years, the incidence of pancreatic cancer has been increasing. With a high invasive ability and low rate of surgical resection, pancreatic cancer has a poor prognosis. Its symptoms are insidious and early identification is difficult. At present, effective methods to diagnose pancreatic cancer early are unavailable. Risk factors such as smoking, chronic pancreatitis, obesity, diabetes and lack of exercise can promote pathogenesis of pancreatic cancer. Some dietary factors are also related to pancreatic cancer. In addition, research has found that genetic predisposition is an independent riskfactor. Therefore, smoking cessation, balanced dietary nutrition, maintaining a healthy body weight, and prevention of diabetes and chronic pancreatitis can decrease the risk of developing pancreatic cancer.This article describes the present incidence and trend of pancreatic cancer and reviews the recent advances in the research on risk factors for pancreatic cancer.

     

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