国际妇产科学杂志 ›› 2023, Vol. 50 ›› Issue (6): 644-649.doi: 10.12280/gjfckx.20230800

• 妇科肿瘤研究:综述 • 上一篇    下一篇

子宫内膜癌筛查现状及研究进展

陈晓静, 李雷()   

  1. 100730 北京,中国医学科学院北京协和医院妇产科,国家妇产疾病临床医学研究中心,中国医学科学院北京协和医院疑难重症及罕见病全国重点实验室
  • 收稿日期:2023-10-12 出版日期:2023-12-15 发布日期:2023-12-13
  • 通讯作者: 李雷 E-mail:lileigh@163.com
  • 作者简介:审校者
  • 基金资助:
    北京市科技计划首都临床诊疗技术研究及转化应用(Z211100002921068);北京市自然科学基金重点研究专题(Z220013);中国医学科学院医学与健康科技创新工程项目(2022-I2M-C&T-B-033);中央高水平医院临床科研专项(2022-PUMCH-A-117);中央高水平医院临床科研专项(2022-PUMCH-B-083);中央高水平医院临床科研专项(2022-PUMCH-C-010);中央高水平医院临床科研专项(2022-PUMCH-C-022);中央高水平医院临床科研专项(2022-PUMCH-D-003)

Screening Status and Research Progress of Endometrial Cancer

CHEN Xiao-jing, LI Lei()   

  1. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, National Clinical Research Center for Obstetric & Gynecologic Diseases, State Key Laboratory for Complex, Severe and Rare Diseases, Peking Union Medical College Hospital, Beijing 100730, China
  • Received:2023-10-12 Published:2023-12-15 Online:2023-12-13
  • Contact: LI Lei E-mail:lileigh@163.com

摘要:

子宫内膜癌是妇科三大癌种之一,育龄期女性子宫内膜癌占比逐年增加,如何通过早诊早筛实现有效、安全和符合卫生经济学的子宫内膜癌防控,已成为子宫内膜癌诊疗的重大课题。目前子宫内膜癌的早诊早筛依然存在巨大挑战,子宫内膜癌筛查面临方法方案不足、筛查对象不明的困境,缺少高效经济的微无创方案。近年来迅速发展的分子检测和影像组学方案正在逐步纾解这些困境,有望成为子宫内膜癌普筛高效而安全的方案。综述近年来子宫内膜癌筛查的现状及新兴分子和影像组学方案在子宫内膜癌早筛早诊中的研究进展,探索未来子宫内膜癌筛查策略的实施和研究方向。

关键词: 子宫内膜肿瘤, 普查, 诊断筛查项目, 癌症早期检测, 基因组学, 表观基因组学, 生育力保护

Abstract:

Endometrial cancer is one of the three major gynecological cancers, and the proportion of endometrial cancer among women of childbearing age is increasing yearly. How to achieve effective, safe and economical prevention and control of endometrial cancer through early diagnosis and screening has become a major topic. At present, there are still huge challenges in the early diagnosis and screening of endometrial cancer, including inadequate methods and programs, uncertain screening objects, and lack of efficient and minimally or non-invasive methods. In recent years, the molecular and imaging protocols are gradually alleviating these difficulties, which are expected to become efficient and safe screening programs for endometrial cancer. This article is aimed to review the current status of endometrial cancer screening and the research progress of emerging molecular and imaging regimens of early screening and diagnosis of endometrial cancer, and explore the implementation of future screening strategies.

Key words: Endometrial neoplasms, Mass screening, Diagnostic screening programs, Early detection of cancer, Genomics, Epigenomics, Fertility preservation