
Yu-Ligh Liou
Guangdong Pharmaceutical University, ChinaTitle: The New Concept of Gynecologic Screening and Follow-up in the COVID-19 Pandemic in China
Abstract
Recent cancer statistics show that the
new cases of female cancer and the mortality rate are disproportionately high. In
many countries, the cancer screening programs were paused in the COVID-19
pandemic causing a screening disruption for an unknown period time. It is the
right time let's rethink the true needs and values of patients in screening,
repeated follow-up, over treatment and fertility preservation.
Epigenetic silencing is the
driving factor of cancer progression. Significant
hypermethylation were observed in endometrial cancer, ovarian cancer, cervical
cancer tissue samples and cervical scraped cells. Given the substantial unmet
clinical need, translational scientists are exploring the implications of
epigenetic tests and treatment on the screening and treatment of gynecological
tumor patients. The World Health Organization has indicated that methylation
testing should be included in future cervical cancer screening guidelines,
showing the importance of methylation testing.
In this speech, I will share the
principle of methylation and the methylation results in cervical exfoliated
cells/ tissue or blood of gynecological cancers (ovarian cancer, cervical
cancer, and endometrial cancer). We also share the first evaluation data that
hypermethylation of endometrial cancer of cervical scraping cells are original
from endometrial cancer exfoliated cells accumulated in the cervical canal /
cervix. This new evidence will provide a new non-invasive method for women who
are afraid of invasive hysteroscopy, or improve the accuracy of hysteroscopy.
The high specificity and clinical advantages of methylation
detection include non-invasive, self-sampling, avoiding repeated detection,
prolonging the detection interval of negative results, reducing the missed
diagnosis rate of gynecological cancer, etc. Methylation detection has
highlighted its clinical importance during the 2019 coronavirus disease
pandemic, and has attracted extensive attention from the medical community. According
to the clinical data, we reconsidered the clinical application of methylation
gene detection in gynecological cancers screening and follow-up.
Biography
Dr. Yu-Ligh Liou has completed his PhD at
the age of 48 years from Department of Clinical Pharmacology, Xiangya Hospital,
Central South University, China. He was the researcher at Clinical Precision
Medicine Research Center, The First Affiliated Hospital of Guangdong
Pharmaceutical University and chief of medical officer at Beijing OriginPoly
Bio-Tec Co., LtD. He is committed to the
clinical translational medicine of gynecological cancer (disease) detection and
the development of expert consensus and guidelines in China. He has over 25
publications and has been serving as an editorial board member or reviewer of
reputed Journals.