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基于分子定义的癌症分类的癌症治疗新方法。

New approach to cancer therapy based on a molecularly defined cancer classification.

机构信息

Head of the Breast Cancer and Melanoma Programs, Vall d'Hebron Institute of Oncology, Vall d'Hebron University Hospital, Barcelona, Spain; Medical Oncologist, Medica Scientia Innovation Research (MedSIR), Barcelona, Spain.

出版信息

CA Cancer J Clin. 2014 Jan-Feb;64(1):70-4. doi: 10.3322/caac.21211. Epub 2013 Nov 18.

Abstract

Translational and clinical cancer research, as well as clinical trials and treatment of cancer, are essentially structured based on the organ in which tumors originate. However, the recent explosion of knowledge about the molecular characteristics of tumors is opening a new way to tackle cancer. This article proposes a different approach to the classification of cancer with important implications for treatment and for basic, translational, and clinical research. The authors postulate that cancers from diverse organs of origin with similar molecular traits should be managed together. The common molecular features observed in different tumors determine clinical actions in a better way than organ-based classification. Thus, comparisons between tumors residing in different locations but with shared molecular characteristics will improve the therapeutic approach and the understanding of the biology of cancer.

摘要

转化和临床癌症研究,以及癌症的临床试验和治疗,基本上都是基于肿瘤起源的器官来构建的。然而,最近关于肿瘤分子特征的知识的爆发正在为攻克癌症开辟一条新的途径。本文提出了一种不同的癌症分类方法,对治疗以及基础、转化和临床研究都具有重要意义。作者假设,具有相似分子特征的不同起源器官的癌症应该一起进行管理。不同肿瘤中观察到的共同分子特征比基于器官的分类更能决定临床治疗措施。因此,对具有共同分子特征但位于不同部位的肿瘤进行比较,将改善治疗方法并加深对癌症生物学的理解。

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