2021
New Trends in the Detection of Gynecological Precancerous Lesions and Early-Stage Cancers
HOLCAKOVA, Jitka, Martin BARTOSIK, Milan ANTON, Luboš MINÁŘ, Jitka HAUSNEROVÁ et. al.Základní údaje
Originální název
New Trends in the Detection of Gynecological Precancerous Lesions and Early-Stage Cancers
Autoři
HOLCAKOVA, Jitka (203 Česká republika), Martin BARTOSIK (203 Česká republika), Milan ANTON (203 Česká republika, domácí), Luboš MINÁŘ (203 Česká republika, domácí), Jitka HAUSNEROVÁ (203 Česká republika, domácí), Markéta BEDNAŘÍKOVÁ (203 Česká republika, domácí), Vít WEINBERGER (203 Česká republika, domácí) a Roman HRSTKA (203 Česká republika)
Vydání
Cancers, BASEL, MDPI, 2021, 2072-6694
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 6.575
Kód RIV
RIV/00216224:14110/21:00123642
Organizační jednotka
Lékařská fakulta
UT WoS
000736133100001
Klíčová slova anglicky
cervical cancer; endometrial cancer; ovarian cancer; precancer; liquid biopsy
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 4. 4. 2022 12:59, Mgr. Tereza Miškechová
Anotace
V originále
Simple Summary This review deals with the prospects of early diagnostics in cervical, endometrial, and ovarian cancers. Progress in cancer research has enabled the rapid development of cancer diagnostics, treatments, and preventions. Indeed, the current situation in genital tract tumors reflects the trend in contemporary oncology that emphasizes cancer prevention and early diagnostics. Cervical cancer screening using cytological examination has a long tradition, is highly effective, and is now being complemented with HPV triage, allowing early diagnostics even in precancerous stages due to the relative ease of accessibility of the uterine cervix. Moreover, vaccination against HPV, which is major cause of cervical cancer, is now recommended for both girls and boys at an early age. In contrast, endometrial and, particularly, ovarian cancers are poorly accessible by sampling, and neither prevention nor screening methods readily exist. Thus, other options leading to their early diagnostics are discussed, in which circulating biomarkers play key roles. The prevention and early diagnostics of precancerous stages are key aspects of contemporary oncology. In cervical cancer, well-organized screening and vaccination programs, especially in developed countries, are responsible for the dramatic decline of invasive cancer incidence and mortality. Cytological screening has a long and successful history, and the ongoing implementation of HPV triage with increased sensitivity can further decrease mortality. On the other hand, endometrial and ovarian cancers are characterized by a poor accessibility to specimen collection, which represents a major complication for early diagnostics. Therefore, despite relatively promising data from evaluating the combined effects of genetic variants, population screening does not exist, and the implementation of new biomarkers is, thus, necessary. The introduction of various circulating biomarkers is of potential interest due to the considerable heterogeneity of cancer, as highlighted in this review, which focuses exclusively on the most common tumors of the genital tract, namely, cervical, endometrial, and ovarian cancers. However, it is clearly shown that these malignancies represent different entities that evolve in different ways, and it is therefore necessary to use different methods for their diagnosis and treatment.
Návaznosti
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