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有效检测和管理胰腺癌的需求:基于生物标志物的策略。

The need for effective pancreatic cancer detection and management: a biomarker-based strategy.

作者信息

Crawley Aoife S, O'Kennedy Richard J

机构信息

a 1 School of Biotechnology, Dublin City University, Dublin 9, Ireland.

b 2 Biomedical Diagnostics Institute, National Centre for Sensor Research, Dublin City University, Dublin 9, Ireland.

出版信息

Expert Rev Mol Diagn. 2015;15(10):1339-53. doi: 10.1586/14737159.2015.1083862.

Abstract

Pancreatic cancer (Pa) is generally a very aggressive disease, with few effective approaches available for early diagnosis or therapy. These factors, combined with the aggressiveness and chemoresistance of Pa, results in a bleak outcome post-diagnosis. Cancer-related biomarkers have established capabilities for diagnosis, prognosis and screening and can be exploited to aid in earlier less-invasive diagnosis and optimization of targeted therapies. Pa has only one US FDA-approved biomarker, CA19-9, which has significant limitations. Hence, it is vital that novel biomarkers are identified and validated to diagnose, treat, control and monitor Pa. This review focuses on existing and potential Pa-associated markers and discusses how they may be applied in cohort for improved management of Pa.

摘要

胰腺癌(Pa)通常是一种极具侵袭性的疾病,早期诊断或治疗的有效方法很少。这些因素,再加上胰腺癌的侵袭性和化疗耐药性,导致诊断后的预后不佳。癌症相关生物标志物在诊断、预后和筛查方面已具备一定能力,可用于辅助早期微创诊断和优化靶向治疗。胰腺癌只有一种获得美国食品药品监督管理局(US FDA)批准的生物标志物CA19-9,但它有明显局限性。因此,识别和验证用于诊断、治疗、控制和监测胰腺癌的新型生物标志物至关重要。本综述重点关注现有的和潜在的与胰腺癌相关的标志物,并讨论它们如何应用于队列研究以改善胰腺癌的管理。

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