De Paz Dante, Kao Huang-Kai, Huang Yenlin, Chang Kai-Ping
Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Department of Head and Neck Surgery, San Pedro University, Chimbote, Peru.
Curr Oncol Rep. 2017 Aug 10;19(10):65. doi: 10.1007/s11912-017-0624-3.
Prognosis of advanced oral squamous cell carcinoma remains a challenge for clinicians despite progress in its diagnosis and treatment over the past decades. In this review, we assessed clinicopathological factors and potential biomarkers along with their prognostic relevance in an attempt to develop optimal treatment strategies for these patients.
In addition to several pathologic factors that have been proposed to improve prognostic stratification and treatment planning in the eighth edition of the American Joint Committee staging manual on cancer, we reviewed some other imaging and clinicopathological parameters demonstrated to be closely associated with patient prognosis, along with the biomarkers related to novel target or immune therapy. Evaluation of current literature regarding the prognostic stratification used in contemporary clinicopathological studies and progress in the development of targeted or immune therapy may help these patients benefit from tailored and personalized treatment and obtain better oncological results.
尽管在过去几十年里,晚期口腔鳞状细胞癌的诊断和治疗取得了进展,但对临床医生来说,其预后仍然是一个挑战。在本综述中,我们评估了临床病理因素和潜在生物标志物及其预后相关性,试图为这些患者制定最佳治疗策略。
除了美国癌症联合委员会第八版癌症分期手册中提出的几种用于改善预后分层和治疗计划的病理因素外,我们还回顾了一些其他被证明与患者预后密切相关的影像学和临床病理参数,以及与新型靶向或免疫治疗相关的生物标志物。评估当代临床病理研究中使用的预后分层的当前文献以及靶向或免疫治疗的发展进展,可能有助于这些患者从量身定制的个性化治疗中获益,并获得更好的肿瘤学结果。