Early detection of cancer in Nepal: Role of liquid biopsy

<p>Cancers of the uterine cervix, breast, lung and stomach are four of the most common cancers in Nepal. Lack of knowledge and awareness about cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the cancer. Curative therapies are mos...

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Main Authors: Sameer Chhetri Aryal, Gopi Aryal
Format: Article
Language:English
Published: Association of Clinical Pathologists of Nepal 2018-09-01
Series:Journal of Pathology of Nepal
Subjects:
Online Access:https://www.nepjol.info/index.php/JPN/article/view/20893
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author Sameer Chhetri Aryal
Gopi Aryal
author_facet Sameer Chhetri Aryal
Gopi Aryal
author_sort Sameer Chhetri Aryal
collection DOAJ
description <p>Cancers of the uterine cervix, breast, lung and stomach are four of the most common cancers in Nepal. Lack of knowledge and awareness about cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the cancer. Curative therapies are most successful when cancer is diagnosed and treated at an early stage.</p><p>Organized cancer screening programmes provide screening to target population and use multidisciplinary delivery teams, coordinated clinical oversight committees, and regular review by a multidisciplinary evaluation board. For population-based screening programs, decision- making and governance structures, tasks and procedures need to be defined.</p><p>In this paper, we review population-based cancer screening programmes of different countries and share recommendations and relevant evidence for screening and early detection of common cancers in Nepal. The evidence-based recommendations provided in this Review are intended to act as a guide for policy makers, clinicians, and public health practitioners who are developing and implementing strategies in cancer control.  We also discuss the role of liquid biopsy in early detection, diagnosis and monitoring of cancers using circulating biomarkers. Despite challenges, time has come to include cell free circulating tumor DNA (ctDNA) and circulating tumor cells (CTCs), as a parameters for early detection of cancer in the days to come.</p>
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spelling doaj.art-50bad6508ea549d7a5fef0aeba5817452022-12-22T02:37:03ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082018-09-01821399140710.3126/jpn.v8i2.2089316221Early detection of cancer in Nepal: Role of liquid biopsySameer Chhetri AryalGopi Aryal<p>Cancers of the uterine cervix, breast, lung and stomach are four of the most common cancers in Nepal. Lack of knowledge and awareness about cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the cancer. Curative therapies are most successful when cancer is diagnosed and treated at an early stage.</p><p>Organized cancer screening programmes provide screening to target population and use multidisciplinary delivery teams, coordinated clinical oversight committees, and regular review by a multidisciplinary evaluation board. For population-based screening programs, decision- making and governance structures, tasks and procedures need to be defined.</p><p>In this paper, we review population-based cancer screening programmes of different countries and share recommendations and relevant evidence for screening and early detection of common cancers in Nepal. The evidence-based recommendations provided in this Review are intended to act as a guide for policy makers, clinicians, and public health practitioners who are developing and implementing strategies in cancer control.  We also discuss the role of liquid biopsy in early detection, diagnosis and monitoring of cancers using circulating biomarkers. Despite challenges, time has come to include cell free circulating tumor DNA (ctDNA) and circulating tumor cells (CTCs), as a parameters for early detection of cancer in the days to come.</p>https://www.nepjol.info/index.php/JPN/article/view/20893CancerLiquid biopsy, Detection, NepalCirculating Tumor DNAScreening
spellingShingle Sameer Chhetri Aryal
Gopi Aryal
Early detection of cancer in Nepal: Role of liquid biopsy
Journal of Pathology of Nepal
Cancer
Liquid biopsy, Detection, Nepal
Circulating Tumor DNA
Screening
title Early detection of cancer in Nepal: Role of liquid biopsy
title_full Early detection of cancer in Nepal: Role of liquid biopsy
title_fullStr Early detection of cancer in Nepal: Role of liquid biopsy
title_full_unstemmed Early detection of cancer in Nepal: Role of liquid biopsy
title_short Early detection of cancer in Nepal: Role of liquid biopsy
title_sort early detection of cancer in nepal role of liquid biopsy
topic Cancer
Liquid biopsy, Detection, Nepal
Circulating Tumor DNA
Screening
url https://www.nepjol.info/index.php/JPN/article/view/20893
work_keys_str_mv AT sameerchhetriaryal earlydetectionofcancerinnepalroleofliquidbiopsy
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