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2015 ; 1
(ä): 15065
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English Wikipedia
Colorectal cancer
#MMPMID27189416
Kuipers EJ
; Grady WM
; Lieberman D
; Seufferlein T
; Sung JJ
; Boelens PG
; van de Velde CJ
; Watanabe T
Nat Rev Dis Primers
2015[Nov]; 1
(ä): 15065
PMID27189416
show ga
Colorectal cancer had a low incidence several decades ago. However, it has become
a predominant cancer and now accounts for approximately 10% of cancer-related
mortality in western countries. The 'rise' of colorectal cancer in developed
countries can be attributed to the increasingly ageing population, unfavourable
modern dietary habits and an increase in risk factors, such as smoking, low
physical exercise and obesity. New treatments for primary and metastatic
colorectal cancer have emerged, providing additional options for patients; these
treatments include laparoscopic surgery for primary disease, more-aggressive
resection of metastatic disease (such as liver and pulmonary metastases),
radiotherapy for rectal cancer, and neoadjuvant and palliative chemotherapies.
However, these new treatment options have had limited impact on cure rates and
long-term survival. For these reasons, and the recognition that colorectal cancer
is long preceded by a polypoid precursor, screening programmes have gained
momentum. This Primer provides an overview of the current state of the art of
knowledge on the epidemiology and mechanisms of colorectal cancer, as well as on
diagnosis and treatment.