Belgioia Liliana, Morbelli Silvia Daniela, Corvò Renzo
Radiation Oncology Department, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Health Science Department (DISSAL), University of Genoa, Genoa, Italy.
Front Oncol. 2021 Jan 8;10:604965. doi: 10.3389/fonc.2020.604965. eCollection 2020.
Radiation therapy is a cornerstone in the treatment of head and neck cancer patients; actually, their management is based on clinical and radiological staging with all patients at the same stage treated in the same way. Recently the increasing knowledge in molecular characterization of head and neck cancer opens the way for a more tailored treatment. Patient outcomes could be improved by a personalized radiotherapy beyond technological and anatomical precision. Several tumor markers are under evaluation to understand their possible prognostic or predictive value. In this paper we discuss those markers specific for evaluate response to radiation therapy in head and neck cancer for a shift toward a biological personalization of radiotherapy.
放射治疗是头颈癌患者治疗的基石;实际上,其治疗方案是基于临床和放射学分期,处于同一分期的所有患者都采用相同的治疗方式。近年来,对头颈癌分子特征的认识不断增加,为更具针对性的治疗开辟了道路。超越技术和解剖精度的个性化放射治疗可能会改善患者的治疗效果。目前正在评估几种肿瘤标志物,以了解它们可能的预后或预测价值。在本文中,我们讨论了那些对头颈癌放射治疗反应评估具有特异性的标志物,以期实现放射治疗的生物学个性化转变。