摘要
结肠炎相关结直肠癌(CAC)仍然是溃疡性结肠炎(UC)的一个重要并发症,死亡率约为15%,这使得早期诊断CAC至关重要。目前的监测标准,包括重复的结肠镜检查和活检粘膜样本的组织学检测,是繁重和昂贵的,因此需要更少的侵入性方法和可靠的生物标志物。在这一领域进行了大量的研究,取得了显著的进展,但至今尚未建立临床相关的生物标志物。本文综述了CAC与散发性结直肠癌的遗传和分子差异,以及CAC癌变早期检测的研究进展。它专注于正在开发的生物标记物,这些标记物可以很容易地在体液或呼吸样本中进行测试,一旦临床可用,将有助于区分进展者(UC患者将发展成发育不良)和非进展者,并使早期干预降低癌症发展的风险。
关键词: 炎症性肠病,溃疡性结肠炎,克罗恩病,结肠炎相关结直肠癌,结直肠癌,监测,生物标志物。
图形摘要
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