Ho Kimberley, Lin Helen, Ann David K, Chu Peiguo G, Yen Yun
Department of Molecular Pharmacology, Beckman Research Institute, City of Hope National Medical Center, Duarte, CA 91010, USA.
Head Neck Oncol. 2011 Sep 14;3:40. doi: 10.1186/1758-3284-3-40.
Cancer of the parotid gland is relatively rare, but carries poor prognosis owing to its prevailing distant metastases. In addition to the disease's basic epidemiology and pathology, we review some current discoveries of its tumorigenesis molecular mechanism. Based on published salivary gland cancer clinical trial data, non-surgical antitumor efficacies amongst a range of chemotherapy, radiation, and concurrent therapy regimens are compared. We also present the current development status of novel radiation therapy and targeted therapeutics, focusing on intensity-modulated radiation therapy (IMRT), and epidermal growth factor receptor (EGFR) and vascular endothelial growth factor (VEGF) blockages, which are showing promise for improving parotid gland cancer management.
腮腺癌相对罕见,但由于其普遍存在远处转移,预后较差。除了该疾病的基本流行病学和病理学外,我们还回顾了其肿瘤发生分子机制的一些当前发现。基于已发表的唾液腺癌临床试验数据,比较了一系列化疗、放疗和联合治疗方案的非手术抗肿瘤疗效。我们还介绍了新型放射治疗和靶向治疗的当前发展状况,重点是调强放射治疗(IMRT)以及表皮生长因子受体(EGFR)和血管内皮生长因子(VEGF)阻断,这些疗法在改善腮腺癌治疗方面显示出前景。