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恶性黑色素瘤的个性化医疗:迈向患者定制治疗

Personalized Medicine in Malignant Melanoma: Towards Patient Tailored Treatment.

作者信息

Helgadottir Hildur, Rocha Trocoli Drakensjö Iara, Girnita Ada

机构信息

Skin Tumor Center, Theme Cancer, Karolinska University Hospital, Stockholm, Sweden.

Cancer Centrum Karolinska, Karolinska Institutet Stockholm, Stockholm, Sweden.

出版信息

Front Oncol. 2018 Jun 12;8:202. doi: 10.3389/fonc.2018.00202. eCollection 2018.

Abstract

Despite enormous international efforts, skin melanoma is still a major clinical challenge. Melanoma takes a top place among the most common cancer types and it has one of the most rapidly increasing incidences in many countries around the world. Until recent years, there have been limited options for effective systemic treatment of disseminated melanoma. However, lately, we have experienced a rapid advancement in the understanding of the biology and molecular background of the disease. This has led to new molecular classifications and the development of more effective targeted therapies adapted to distinct melanoma subtypes. Not only are these treatments more effective but they can be rationally prescribed to the patients standing to benefit. As such, melanoma management has now become one of the most developed for personalized medicine. The aim of the present paper is to summarize the current knowledge on melanoma molecular classification, predictive markers, combination therapies, as well as emerging new treatments.

摘要

尽管国际上付出了巨大努力,但皮肤黑色素瘤仍然是一个重大的临床挑战。黑色素瘤在最常见的癌症类型中位居前列,并且在世界许多国家的发病率增长速度最快。直到近年来,对于播散性黑色素瘤的有效全身治疗选择仍然有限。然而,最近我们在对该疾病的生物学和分子背景的理解上取得了迅速进展。这导致了新的分子分类以及针对不同黑色素瘤亚型的更有效靶向治疗的开发。这些治疗不仅更有效,而且可以合理地开给可能受益的患者。因此,黑色素瘤的管理现已成为个性化医疗中最发达的领域之一。本文的目的是总结关于黑色素瘤分子分类、预测标志物、联合治疗以及新兴新疗法的当前知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31d2/6006716/bbd052fae385/fonc-08-00202-g001.jpg

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