Original title: Význam stanovení nádorových markerů angiogeneze pro prognózu kolorektálního karcinomu
Translated title: The importance of tumor markers and markers of angiogenesis for colorectal cancer prognosis
Authors: Levý, Miroslav ; Lipská, Ludmila (advisor) ; Třeška, Vladislav (referee) ; Šafarčík, Kristian (referee) ; Keil, Radan (referee)
Document type: Doctoral theses
Year: 2010
Language: cze
Abstract: [cze] [eng]
Souhrn Přes rozsahle pokroky v poznani molekularni podstaty vzniku tumoru, rozmach chemoterapie i posunovani hranic chirurgicke lečby zůstava kolorektalni karcinom na přednim mistě jako přičina umrti na celem světě. Chirurgicka lečba samotna již dosahuje z hledisek onkoradikality svych mezi, a proto se i chirurgove obraceji k molekularnim zakladům nadoroveho bujeni ve snaze nalezt markery, ktere umožni operovat pacienty v nižšich stadiich onemocněni a tim i k zlepšeni vysledků a prognozy onemocněni a také markery, ktere po uspěšne operaci umožni sledovat průběh onemocněni pacienta a odhali připadnou recidivu onemocněni včas, aby chirurg mohl opět kurativně zasahnout. Nadorove markery jsou latky, ktere často vznikaji v souvislosti se změněnym metabolizmem nadorově transformovane buňky, a proto jejich hladiny při malignim onemocněni vyrazně stoupaji. Serove nadorove markery představuji důležite parametry, ktere mohou usnadnit predikci vyvoje onemocněni, jeho progresi nebo regresi (remisi) u onkologickych nemocnych. Nadorove markery se klinicky využivaji pro screening, primarni diagnostiku, staging, prognozu, předevšim však pro predikci rekurence choroby, monitorovani terapie, je možne uvažovat i o algoritmech pro hledani lokalizace neznameho primarniho tumoru. Tato prace si klade za cil shrnout současne... Despite extensive progress in understanding of the molecular pattern of the tumor, growing possibilities of chemotherapy and surgical treatment, colorectal cancer remains the significant cause of death worldwide. Surgical treatment alone has already reached in oncologic radicality its limits, and therefore the surgeons turned to the molecular base of tumor growth in an effort to find markers that allow to operate patients at lower stages of the disease and thus improve the results and prognosis of the disease. And also to find markers, which, after currative operation will find a possible relapse in early stage to enable the surgeon to perform second curative intervention. Tumor markers are substances that often arise in connection with the changed metabolism transformed tumor cells, and therefore their levels increased in the presence of malignancy. Serum tumor markers are important parameters that may facilitate the prediction of the disease, its progression or regression (remission). Tumor markers are clinically used for screening, primary diagnosis, staging, prognosis, but particularly for predicting recurrence of disease, monitoring therapy. This work aims to summarize the current knowledge about the colorectal cancer markers, outline the possible development and present results of relationship...

Institution: Charles University Faculties (theses) (web)
Document availability information: Available in the Charles University Digital Repository.
Original record: http://hdl.handle.net/20.500.11956/23429

Permalink: http://www.nusl.cz/ntk/nusl-495759


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Universities and colleges > Public universities > Charles University > Charles University Faculties (theses)
Academic theses (ETDs) > Doctoral theses