Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, New York University School of Medicine, New York, New York.
Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, New York University School of Medicine, New York, New York.
Semin Thorac Cardiovasc Surg. 2013 Winter;25(4):328-34. doi: 10.1053/j.semtcvs.2013.11.001. Epub 2013 Nov 21.
Lung cancer is the leading cause of cancer deaths worldwide largely owing to diagnosis of the disease at an advanced stage. Recent advances in blood-based biomarker research have the potential to reduce mortality by providing a means for detecting lung cancer at an earlier stage. Since the publication of the National Lung Cancer Screening Trial demonstrating reduction in mortality with computed tomography (CT) scan screening, the U.S. Preventive Services Task Force has released a draft statement recommending annual low-dose CT scan screening for high-risk patients. However, CT screening has a high false-positive rate leading to the need for additional imaging and invasive procedures. In this article, we review recent literature on blood-based lung cancer biomarkers that we believe will have a significant role in enhancing screening efficacy in the near future.
肺癌是全球癌症死亡的主要原因,主要是因为在疾病晚期才被诊断出来。最近在基于血液的生物标志物研究方面的进展有可能通过更早地检测肺癌来降低死亡率。自从国家肺癌筛查试验发表以来,证明了计算机断层扫描(CT)筛查可以降低死亡率,美国预防服务工作组发布了一份草案声明,建议对高危患者进行每年一次的低剂量 CT 扫描筛查。然而,CT 筛查的假阳性率很高,导致需要进行额外的影像学和有创检查。在本文中,我们回顾了最近关于基于血液的肺癌生物标志物的文献,我们认为这些标志物在不久的将来将在提高筛查效果方面发挥重要作用。