Shoushtari Alexander N, Van Tine Brian A, Schwartz Gary K
From the Sarcoma Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY; Division of Oncology, Washington University in St. Louis School of Medicine, St. Louis, MO; Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.
Am Soc Clin Oncol Educ Book. 2014:e488-95. doi: 10.14694/EdBook_AM.2014.34.e488.
Sarcomas are rare tumors comprising a heterogeneous group of more than 50 histologic subtypes, the majority of which do not respond well to cytotoxic chemotherapy. This has fueled research into the distinct molecular mechanisms of tumorigenesis and disease progression for various sarcoma subtypes. Gastrointestinal stromal tumors and liposarcomas are presented as paradigms of molecular classification that have led to the rational development of novel therapeutic strategies for those tumors. Recent advances in understanding of growth signaling pathways, metabolic reprogramming, and immune therapy have identified new treatment targets for many sarcomas. These investigations will form the foundation for further improvements in our ability to care for patients with these tumors and may offer clinical insights into a wide range of other tumors.
肉瘤是罕见肿瘤,由50多种组织学亚型组成的异质性群体,其中大多数对细胞毒性化疗反应不佳。这推动了对各种肉瘤亚型肿瘤发生和疾病进展的独特分子机制的研究。胃肠道间质瘤和脂肪肉瘤作为分子分类的范例,已促成针对这些肿瘤的新型治疗策略的合理开发。在生长信号通路、代谢重编程和免疫治疗方面的最新进展已经为许多肉瘤确定了新的治疗靶点。这些研究将为进一步提高我们治疗这些肿瘤患者的能力奠定基础,并可能为广泛的其他肿瘤提供临床见解。