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活检在分子医学时代的重要性。

The Importance of Biopsy in the Era of Molecular Medicine.

作者信息

Ziv Etay, Durack Jeremy C, Solomon Stephen B

机构信息

From the Interventional Radiology Service, Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY.

出版信息

Cancer J. 2016 Nov/Dec;22(6):418-422. doi: 10.1097/PPO.0000000000000228.

DOI:10.1097/PPO.0000000000000228
PMID:27870685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5588891/
Abstract

Recent advances in the molecular characterization of cancers have triggered interest in developing a new taxonomy of disease in oncology with the goal of using the molecular profile of a patient's tumor to predict response to treatment. Image-guided needle biopsy is central to this "precision medicine" effort. In this review, we first discuss the current role of biopsy in relation to clinical examples of molecular medicine. We then outline important bottlenecks to the advancement of precision medicine and highlight the potential role of image-guided biopsy to address these challenges.

摘要

癌症分子特征方面的最新进展引发了人们对开发肿瘤学新疾病分类法的兴趣,其目标是利用患者肿瘤的分子特征来预测治疗反应。图像引导下的针吸活检是这项“精准医学”努力的核心。在本综述中,我们首先讨论活检在分子医学临床实例方面的当前作用。然后,我们概述精准医学发展的重要瓶颈,并强调图像引导活检在应对这些挑战方面的潜在作用。

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本文引用的文献

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What Happens When Underperforming Big Ideas in Research Become Entrenched?当研究中表现不佳的重大理念变得根深蒂固时会发生什么?
JAMA. 2016 Oct 4;316(13):1355-1356. doi: 10.1001/jama.2016.11076.
2
Lung Adenocarcinoma: Predictive Value of KRAS Mutation Status in Assessing Local Recurrence in Patients Undergoing Image-guided Ablation.肺腺癌:KRAS 突变状态在评估接受图像引导消融治疗患者局部复发中的预测价值
Radiology. 2017 Jan;282(1):251-258. doi: 10.1148/radiol.2016160003. Epub 2016 Jul 19.
3
Urachal Carcinoma Shares Genomic Alterations with Colorectal Carcinoma and May Respond to Epidermal Growth Factor Inhibition.脐尿管癌与结直肠癌存在共同的基因组改变,且可能对表皮生长因子抑制有反应。
Eur Urol. 2016 Nov;70(5):771-775. doi: 10.1016/j.eururo.2016.04.037. Epub 2016 May 10.
4
Biomarker-Guided Adaptive Trial Designs in Phase II and Phase III: A Methodological Review.二、三期生物标志物引导的适应性试验设计:方法学综述
PLoS One. 2016 Feb 24;11(2):e0149803. doi: 10.1371/journal.pone.0149803. eCollection 2016.
5
Image-Guided Biopsy in the Era of Personalized Cancer Care: Proceedings from the Society of Interventional Radiology Research Consensus Panel.个性化癌症治疗时代的图像引导活检:介入放射学会研究共识小组会议记录
J Vasc Interv Radiol. 2016 Jan;27(1):8-19. doi: 10.1016/j.jvir.2015.10.019. Epub 2015 Nov 25.
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BRAF Mutation in Colorectal Cancer: An Update.结直肠癌中的BRAF突变:最新进展
Biomark Cancer. 2015 Sep 6;7(Suppl 1):9-12. doi: 10.4137/BIC.S25248. eCollection 2015.
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A 2015 update on predictive molecular pathology and its role in targeted cancer therapy: a review focussing on clinical relevance.2015年预测性分子病理学及其在靶向癌症治疗中的作用更新:聚焦临床相关性的综述
Cancer Gene Ther. 2015 Sep;22(9):417-30. doi: 10.1038/cgt.2015.39. Epub 2015 Sep 11.
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Grade Increases in Gastroenteropancreatic Neuroendocrine Tumor Metastases Compared to the Primary Tumor.与原发性肿瘤相比,胃肠胰神经内分泌肿瘤转移灶的分级增加。
Neuroendocrinology. 2016;103(5):452-9. doi: 10.1159/000439434. Epub 2015 Aug 25.
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Solid Predominant Histologic Subtype in Resected Stage I Lung Adenocarcinoma Is an Independent Predictor of Early, Extrathoracic, Multisite Recurrence and of Poor Postrecurrence Survival.切除的Ⅰ期肺腺癌中实性为主的组织学亚型是早期、胸外、多部位复发及复发后生存不良的独立预测因素。
J Clin Oncol. 2015 Sep 10;33(26):2877-84. doi: 10.1200/JCO.2015.60.9818. Epub 2015 Aug 10.
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KRAS Status as an Independent Prognostic Factor for Survival after Yttrium-90 Radioembolization Therapy for Unresectable Colorectal Cancer Liver Metastases.KRAS状态作为不可切除的结直肠癌肝转移患者钇-90放射性栓塞治疗后生存的独立预后因素
J Vasc Interv Radiol. 2015 Aug;26(8):1102-11. doi: 10.1016/j.jvir.2015.05.032.