揭开宫颈癌的复杂面纱:全面探索

Dr. Shilpa Bhargava, Dr. John Abraham, Dr. Martha Srinivas, Dr. Somenath Ghosh
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引用次数: 0

摘要

宫颈癌(CC)是 20-39 岁女性癌症相关死亡的第二大常见原因,每周有 10 人因此过早死亡。宫颈癌影响着全世界的女性,是最常见的生殖器癌症,每年约有 50 万新确诊病例。除了死亡风险外,CC 还可能导致发病率上升,引起疼痛、出血和肾衰竭等症状。这些并发症给治疗带来了巨大挑战,尤其是在医疗条件有限的地区。免疫失调和慢性炎症进一步加剧了CC的发病机理,通过免疫细胞招募、细胞因子释放以及HPV持续感染引发的炎症反应,形成了一种促癌微环境。此外,了解影响CC发病率的社会经济决定因素并提高人们的认识有助于采取有效的公共卫生干预措施。这些领域的研究工作对于减轻CC的负担、加强早期检测并最终挽救生命至关重要。本综述涵盖了有关CC全球流行病学、复杂的发病机制、基于蛋白的HPV疫苗和各种治疗方法(包括复发病例)的最新研究。表明预后的分子标记和人工智能的作用。综述将简要介绍预防策略,全面概述CC的关键研究领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unravelling The Complexities of Cervical Cancer: A Comprehensive Exploration
Cervical cancer (CC) ranks as the second most common cause of cancer-related deaths among women aged 20-39, resulting in ten premature deaths weekly. CC affects women worldwide as the most common form of genital cancer, with approximately 500,000 new cases diagnosed annually. Besides the risk of death, CC can lead to increased morbidity, causing symptoms like pain, haemorrhage, and kidney failure. These complications pose significant challenges to treatment, particularly in areas with limited healthcare access. Immune dysregulation and chronic inflammation further contribute to CC pathogenesis, creating a pro-carcinogenic microenvironment through immune cell recruitment, cytokine release, and inflammatory responses triggered by persistent HPV infection. Moreover, understanding the socio-economic determinants influencing the prevalence of CC and promoting awareness can contribute to effective public health interventions. Research endeavours in these domains are vital to reduce the burden of CC, enhance early detection, and ultimately save lives. This review covers recent research on CC global epidemiology, intricate pathogenesis insights, protein-based HPV vaccines, and diverse treatment modalities, including recurrent cases. Molecular markers indicating prognosis and the role of artificial intelligence. The review will briefly highlight preventive strategies, offering a comprehensive overview of crucial research areas in CC.
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