Second Department of Internal Medicine, Propaedeutic, University of Athens Medical School, Attikon University Hospital, Athens, Greece.
Department of Medical Oncology, Head and Neck Cancer Medical Oncology Unit, Istituto Nazionale dei Tumori, Milan, Italy.
Ann Oncol. 2010 Oct;21(10):1952-1960. doi: 10.1093/annonc/mdq060. Epub 2010 Mar 19.
Head and neck squamous cell cancer (HNSCC) is the sixth leading cause of cancer-related deaths worldwide. These tumors are commonly diagnosed at advanced stages and mortality rates remain high. Even cured patients suffer the consequences of aggressive treatment that includes surgery, chemotherapy, and radiotherapy. In the past, in clinical trials, HNSCC was considered as a single disease entity. Advances in molecular biology with the development of genomic and proteomic approaches have demonstrated distinct prognostic HNSCC patient subsets beyond those defined by traditional clinical-pathological factors such as tumor subsite and stage [Cho W (ed). An Omics Perspective on Cancer Research. New York/Berlin: Springer 2010]. Validation of these biomarkers in large prospective clinical trials is required before their clinical implementation. To promote this research, the European Organisation for Research and Treatment of Cancer (EORTC) Head and Neck Cancer Program will develop the following strategies-(i) biobanking: prospective tissue collection from uniformly treated patients in the setting of clinical trials; (ii) a group of physicians, physician-scientists, and EORTC Headquarters staff devoted to patient-oriented head and neck cancer research; (iii) a collaboration between the basic scientists of the Translational Research Division interested in head and neck cancer research and the physicians of the Head and Neck Cancer Group; and (iv) funding through the EORTC Grant Program and the Network Core Institutions Consortium. In the present report, we summarize our strategic plans to promote head and neck cancer research within the EORTC framework.
头颈部鳞状细胞癌(HNSCC)是全球第六大癌症相关死亡原因。这些肿瘤通常在晚期诊断,死亡率仍然很高。即使治愈的患者也会因包括手术、化疗和放疗在内的激进治疗而遭受后果。过去,在临床试验中,HNSCC 被认为是一种单一的疾病实体。随着基因组和蛋白质组学方法的发展,分子生物学的进步已经证明了除了肿瘤部位和分期等传统临床病理因素之外,HNSCC 患者有明显不同的预后亚组[Cho W(ed)。癌症研究的组学视角。纽约/柏林:施普林格 2010]。在将这些生物标志物临床应用之前,需要在大型前瞻性临床试验中对其进行验证。为了促进这项研究,欧洲癌症研究与治疗组织(EORTC)头颈部癌症项目将制定以下策略-(i) 生物样本库:在临床试验中从经过统一治疗的患者中前瞻性地收集组织;(ii) 一组医生、医生科学家和 EORTC 总部工作人员专门从事以患者为中心的头颈部癌症研究;(iii) 对 Translational Research Division 中对头颈部癌症研究感兴趣的基础科学家与 Head and Neck Cancer Group 的医生之间的合作;以及 (iv) 通过 EORTC 赠款计划和网络核心机构联盟提供资金。在本报告中,我们总结了在 EORTC 框架内促进头颈部癌症研究的战略计划。