J 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

90125, velká výzkumná infrastruktura
Název: BBMRI-CZ III
90128, velká výzkumná infrastruktura
Název: CZECRIN III