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靶向治疗时代超越手术观点:脊柱转移瘤治疗前脊柱外科医生应了解的内容。

The Targeted Therapies Era Beyond the Surgical Point of View: What Spine Surgeons Should Know Before Approaching Spinal Metastases.

机构信息

Dipartimento di Neuroscienze, Neurosurgery, Universita degli Studi di Torino, Torino, Italy.

Dipartimento di Scienze Mediche, Pathology, Universita degli Studi di Torino, Torino, Italy.

出版信息

Cancer Control. 2019 Jan-Dec;26(1):1073274819870549. doi: 10.1177/1073274819870549.

Abstract

In the last few years, the treatment of spinal metastases has significantly changed. This is due to the advancements in surgical technique, radiotherapy, and chemotherapy which have enriched the multidisciplinary management. Above all, the field of molecular biology of tumors is in continuous and prosperous evolution. In this review, the molecular markers and new approaches that have radically modified the chemotherapeutic strategy of the most common metastatic neoplasms will be examined together with clinical and surgical implications. The experience and skills of several different medical professionals are mandatory: an interdisciplinary oncology team represents the winning strategy in the treatment of patients with spinal metastases.

摘要

在过去的几年中,脊柱转移瘤的治疗发生了显著变化。这是由于手术技术、放疗和化疗的进步丰富了多学科管理。最重要的是,肿瘤分子生物学领域正在不断蓬勃发展。在这篇综述中,我们将探讨共同改变最常见转移性肿瘤的化疗策略的分子标志物和新方法,并探讨其临床和手术意义。需要有多位不同医学专业人员的经验和技能:肿瘤多学科团队是治疗脊柱转移瘤患者的制胜策略。

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