Dumontet Charles
Hospices civils de Lyon, Inserm UMR 590, Lyon, France.
Bull Cancer. 2008 Oct;95(10):959-62. doi: 10.1684/bdc.2008.0718.
Haematological malignancies, although relatively infrequent diseases, have benefited from major advances both in terms of diagnosis, identification of prognostic factors and therapeutic breakthroughs. The combination of morphological, cytogenetic, immunological and molecular approaches has greatly contributed to the identification of homogeneous entities, as well as prognostic subgroups of patients. Targeted therapies, such as monoclonal antibodies and kinase inhibitors, have demonstrated their efficacy in this group of diseases and since then has been generalized to patients with solid tumours. Current efforts include the evaluation of individual characteristics of patients, including their genetic make-up, to reduce treatment toxicity while increasing the quality and the duration of response.
血液系统恶性肿瘤虽然是相对罕见的疾病,但在诊断、预后因素识别和治疗突破方面都取得了重大进展。形态学、细胞遗传学、免疫学和分子方法的结合极大地有助于识别同质实体以及患者的预后亚组。靶向治疗,如单克隆抗体和激酶抑制剂,已在这类疾病中证明了其疗效,此后已推广至实体瘤患者。目前的工作包括评估患者的个体特征,包括其基因组成,以降低治疗毒性,同时提高反应的质量和持续时间。