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OtherPerspective

Early detection of gastric cancer in China: progress and opportunities

Hengmin Xu and Wenqing Li
Cancer Biology & Medicine December 2022, 19 (12) 1622-1628; DOI: https://doi.org/10.20892/j.issn.2095-3941.2022.0655
Hengmin Xu
1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Cancer Epidemiology, Peking University Cancer Hospital and Institute, Beijing 100142, China
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Wenqing Li
1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Cancer Epidemiology, Peking University Cancer Hospital and Institute, Beijing 100142, China
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  • For correspondence: wenqing_li{at}bjmu.edu.cn
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    Figure 1

    Key milestones for GC screening in China. UGCED, Upper Gastrointestinal Cancer Early Detection. CanSPUC, Cancer Screening Program in Urban China.

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    Table 1

    Studies on the performance of PG combined with other biomarkers in predicting GC risk

    ReferenceMethodsIncluded biomarkers and factorsRisk groups or score rangesAUC
    Miki 201119ABC methodHp infection, PG I and PGR (PG I ≤70 ng/mL and PGR ≤3 classified as PG positive)Group A: Hp(−) PG(−)
    Group B: Hp(−) PG(+)
    Group C: Hp(+) PG(+)
    Group D: Hp(−) PG(+)
    0.527†
    Tu 201720Combination of 5 serum biomarkersHp infection (score of 7 for Hp positive participants)
    PGR (score of 4 for PGR ≤ 7)
    PGI (score of 1 for PGI < 30 ng/mL)
    PGII (score of 0, 1, 3, and 6 for quartiles 1–4, respectively)
    G-17 (score of 1, 0, 1, and 3 for quartiles 1–4, respectively)
    Serum biopsy score, ranging from 0 to 210.803*
    Cai 201921Combination of 7 indicatorsAge (score of 4, 6 and 9 for ages 50–59, 60–69 and > 69, respectively)
    Sex (score of 4 for males)
    Pickled or fried food (score of 2 for regular intake)
    Hp infection (score of 1 for Hp positive participants)
    PGR (score of 3 for PGR < 3.89)
    G-17 (score of 3 for 1.50–5.70 pmol/L and score of 4 for > 5.70 pmol/L)
    0–25,
    Low risk (≤ 11)
    Moderate risk (12–16) High risk (17–25)
    0.757
    Shida 202022ABC method combined with KK-LC-1Hp infection, PG I, PGR, combining KK-LC-1 expressionABC method, as in Miki 201119-
    Zeng 202023Serum miRNA biomarkers combined with PGmiR-101-3p, PG I and PGRYouden index as cutoff value0.856

    Hp, Helicobacter pylori; PG, pepsinogen; PGR, the PGI to PGII ratio; G-17, gastrin-17; KK-LC-1, Kita-Kyushu lung cancer antigen-1. †Evaluated by Cai 201921. *Concordance index.

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    Cancer Biology & Medicine: 19 (12)
    Cancer Biology & Medicine
    Vol. 19, Issue 12
    15 Dec 2022
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    Early detection of gastric cancer in China: progress and opportunities
    Hengmin Xu, Wenqing Li
    Cancer Biology & Medicine Dec 2022, 19 (12) 1622-1628; DOI: 10.20892/j.issn.2095-3941.2022.0655

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    Early detection of gastric cancer in China: progress and opportunities
    Hengmin Xu, Wenqing Li
    Cancer Biology & Medicine Dec 2022, 19 (12) 1622-1628; DOI: 10.20892/j.issn.2095-3941.2022.0655
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    • Article
      • National GC screening programs in China
      • Effectiveness of GC screening
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