• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

鼻咽癌:治疗方案中的临床成果与考量

Nasopharyngeal Carcinoma: Clinical Achievements and Considerations Among Treatment Options.

作者信息

Liu Zheran, Chen Ye, Su Yonglin, Hu Xiaolin, Peng Xingchen

机构信息

Department of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.

Department of Medical Oncology, Cancer Center, the State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.

出版信息

Front Oncol. 2021 Nov 29;11:635737. doi: 10.3389/fonc.2021.635737. eCollection 2021.

DOI:10.3389/fonc.2021.635737
PMID:34912697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8667550/
Abstract

Nasopharyngeal carcinoma (NPC) is a severe malignancy arising from the nasopharyngeal epithelium and is southern China's third most common cancer. With the advancement of treatment methods, early-stage NPC patients usually have a better prognosis and more prolonged survival period than those with other malignant tumors. Most treatment failures are due to distant metastasis or a locally advanced stage of NPC in the initial diagnosis. In addition, approximately 10% of patients develop local recurrence, and 10%-20% of patients experience distant metastasis after treatment. These patients have a poor prognosis, with a median survival of only approximately 10-15 months. In the rapid development of treatment options, the efficacy and safety of some treatments have been validated and approved for first-line treatment, while those of other treatments remain unclear. The present study aims to provide a comprehensive overview of recent advances in NPC treatment and explain the various therapeutic possibilities in treating locally advanced, recurrent, and metastatic NPC patients.

摘要

鼻咽癌(NPC)是一种起源于鼻咽上皮的严重恶性肿瘤,是中国南方第三大常见癌症。随着治疗方法的进步,早期鼻咽癌患者通常比其他恶性肿瘤患者预后更好,生存期更长。大多数治疗失败是由于远处转移或初诊时鼻咽癌处于局部晚期。此外,约10%的患者会出现局部复发,10%-20%的患者在治疗后会发生远处转移。这些患者预后较差,中位生存期仅约10-15个月。在治疗方案迅速发展的过程中,一些治疗的疗效和安全性已得到验证并被批准用于一线治疗,而其他治疗的疗效和安全性仍不明确。本研究旨在全面概述鼻咽癌治疗的最新进展,并解释治疗局部晚期、复发和转移性鼻咽癌患者的各种治疗可能性。

相似文献

1
Nasopharyngeal Carcinoma: Clinical Achievements and Considerations Among Treatment Options.鼻咽癌:治疗方案中的临床成果与考量
Front Oncol. 2021 Nov 29;11:635737. doi: 10.3389/fonc.2021.635737. eCollection 2021.
2
Phase I/II trial evaluating concurrent carbon-ion radiotherapy plus chemotherapy for salvage treatment of locally recurrent nasopharyngeal carcinoma.评估同步碳离子放疗联合化疗用于局部复发性鼻咽癌挽救治疗的I/II期试验。
Chin J Cancer. 2016 Dec 22;35(1):101. doi: 10.1186/s40880-016-0164-5.
3
Retrospective Analysis of Induction Chemotherapy plus Concurrent Chemoradiotherapy under Intensity-Modulated Radiotherapy Mode for Locally Advanced Nasopharyngeal Carcinoma.局部晚期鼻咽癌调强放疗模式下诱导化疗加同期放化疗的回顾性分析。
Oncol Res Treat. 2021;44(11):602-612. doi: 10.1159/000519278. Epub 2021 Oct 1.
4
Safety and efficacy of lobaplatin combined with 5-fluorouracil as first-line induction chemotherapy followed by lobaplatin-radiotherapy in locally advanced nasopharyngeal carcinoma: preliminary results of a prospective phase II trial.洛铂联合5-氟尿嘧啶作为一线诱导化疗随后进行洛铂-放疗用于局部晚期鼻咽癌的安全性和有效性:一项前瞻性II期试验的初步结果
BMC Cancer. 2017 Feb 15;17(1):134. doi: 10.1186/s12885-017-3080-4.
5
Enhancement of local control in locally advanced node-positive nasopharyngeal carcinoma by adjunctive chemotherapy.辅助化疗增强局部晚期淋巴结阳性鼻咽癌的局部控制
Int J Radiat Oncol Biol Phys. 1999 Jan 15;43(2):261-71. doi: 10.1016/s0360-3016(98)00383-6.
6
Salvage treatment using carbon ion radiation in patients with locoregionally recurrent nasopharyngeal carcinoma: Initial results.碳离子放疗挽救治疗局部复发鼻咽癌患者的初步结果。
Cancer. 2018 Jun 1;124(11):2427-2437. doi: 10.1002/cncr.31318. Epub 2018 Mar 26.
7
Prognostic analysis of 152 patients with distant metastasis after intensity-modulated radiotherapy for nasopharyngeal carcinoma.调强放疗后 152 例鼻咽癌远处转移患者的预后分析。
Ann Palliat Med. 2021 Jun;10(6):6824-6832. doi: 10.21037/apm-21-1279. Epub 2021 Jun 16.
8
Molecular Targeted Therapy in the Management of Recurrent and Metastatic Nasopharyngeal Carcinoma: A Comprehensive Literature Review.复发性和转移性鼻咽癌治疗中的分子靶向治疗:一项全面的文献综述
Cureus. 2019 Mar 9;11(3):e4210. doi: 10.7759/cureus.4210.
9
Intensity-modulated radiotherapy controls nasopharyngeal carcinoma distant metastasis and improves survival of patients.调强放射治疗可控制鼻咽癌远处转移并提高患者生存率。
Springerplus. 2016 Aug 31;5(1):1459. doi: 10.1186/s40064-016-3117-1. eCollection 2016.
10
Salvage endoscopic nasopharyngectomy and intensity-modulated radiotherapy versus conventional radiotherapy in treating locally recurrent nasopharyngeal carcinoma.挽救性鼻内镜下鼻咽癌切除术联合调强放疗与传统放疗治疗局部复发性鼻咽癌的比较
Head Neck. 2015 Aug;37(8):1108-15. doi: 10.1002/hed.23719. Epub 2014 Jul 11.

引用本文的文献

1
Overexpression of STOML1 is associated with good prognosis in nasopharyngeal carcinoma.STOML1的过表达与鼻咽癌的良好预后相关。
Oncol Lett. 2025 Jul 28;30(4):461. doi: 10.3892/ol.2025.15207. eCollection 2025 Oct.
2
Aloe-emodin mediates the inhibitory effect of LncRNA D63785 on the PI3K/Akt/mTOR pathway in nasopharyngeal carcinoma.芦荟大黄素介导长链非编码RNA D63785对鼻咽癌PI3K/Akt/mTOR信号通路的抑制作用。
Front Pharmacol. 2025 Jul 18;16:1573408. doi: 10.3389/fphar.2025.1573408. eCollection 2025.
3
Whole-tumor histogram analysis of synthetic MRI relaxation maps for nasopharyngeal carcinoma: correlations with histopathologic components.鼻咽癌合成磁共振成像弛豫图的全肿瘤直方图分析:与组织病理学成分的相关性
Jpn J Radiol. 2025 Jul 9. doi: 10.1007/s11604-025-01824-3.
4
A novel serum protein biomarker for the late-stage diagnosis of nasopharyngeal carcinoma.一种用于鼻咽癌晚期诊断的新型血清蛋白生物标志物。
BMC Cancer. 2025 Apr 1;25(1):585. doi: 10.1186/s12885-025-13958-8.
5
CircCENPM serves as a CeRNA to aggravate nasopharyngeal carcinoma metastasis and stemness via enhancing BMI1.环状CENPM作为一种竞争性内源RNA,通过增强BMI1来加重鼻咽癌转移和干性。
Hereditas. 2025 Mar 14;162(1):39. doi: 10.1186/s41065-025-00406-7.
6
Spatial Metabolomics and Transcriptomics Reveal Metabolic Reprogramming and Cellular Interactions in Nasopharyngeal Carcinoma with High PD-1 Expression and Therapeutic Response.空间代谢组学和转录组学揭示了高PD-1表达及治疗反应的鼻咽癌中的代谢重编程和细胞间相互作用。
Theranostics. 2025 Feb 10;15(7):3035-3054. doi: 10.7150/thno.102822. eCollection 2025.
7
RNF138 contributes to cisplatin resistance in nasopharyngeal carcinoma cells.RNF138在鼻咽癌细胞中导致顺铂耐药。
Sci Rep. 2025 Jan 9;15(1):1406. doi: 10.1038/s41598-025-85716-6.
8
Noninvasive Photothermal Therapy of Nasopharyngeal Cancer Guided by High Efficiency Optical-Absorption Nanomaterial Enhanced by NIR-II Photoacoustic Imaging.基于近红外二区光声成像增强高效光吸收纳米材料的鼻咽癌无创光热治疗。
Int J Nanomedicine. 2024 Jul 31;19:7817-7830. doi: 10.2147/IJN.S457069. eCollection 2024.
9
Effect of Online Clinic on Follow-Up Compliance and Survival Outcomes in Nasopharyngeal Carcinoma: Real-World Cohort Study from Endemic Area.在线诊疗对鼻咽癌随访依从性和生存结局的影响:来自流行地区的真实世界队列研究
Healthcare (Basel). 2024 Jul 21;12(14):1452. doi: 10.3390/healthcare12141452.
10
Angiogenesis in nasopharyngeal carcinoma: insights, imaging, and therapeutic strategies.鼻咽癌中的血管生成:见解、影像学及治疗策略
Front Oncol. 2024 May 28;14:1331064. doi: 10.3389/fonc.2024.1331064. eCollection 2024.

本文引用的文献

1
Phase II, Randomized Study of Spartalizumab (PDR001), an Anti-PD-1 Antibody, versus Chemotherapy in Patients with Recurrent/Metastatic Nasopharyngeal Cancer.Spartalizumab(PDR001),一种抗 PD-1 抗体,与化疗相比,在复发性/转移性鼻咽癌患者中的 II 期、随机研究。
Clin Cancer Res. 2021 Dec 1;27(23):6413-6423. doi: 10.1158/1078-0432.CCR-21-0822. Epub 2021 Aug 25.
2
Intensity Modulated Proton Beam Therapy versus Volumetric Modulated Arc Therapy for Patients with Nasopharyngeal Cancer: A Propensity Score-Matched Study.调强质子束治疗与容积调强弧形放疗用于鼻咽癌患者的疗效比较:一项倾向评分匹配研究
Cancers (Basel). 2021 Jul 16;13(14):3555. doi: 10.3390/cancers13143555.
3
Camrelizumab versus placebo in combination with gemcitabine and cisplatin as first-line treatment for recurrent or metastatic nasopharyngeal carcinoma (CAPTAIN-1st): a multicentre, randomised, double-blind, phase 3 trial.卡瑞利珠单抗联合吉西他滨和顺铂与安慰剂联合吉西他滨和顺铂用于复发或转移性鼻咽癌的一线治疗(CAPTAIN-1st):一项多中心、随机、双盲、III 期临床试验。
Lancet Oncol. 2021 Aug;22(8):1162-1174. doi: 10.1016/S1470-2045(21)00302-8. Epub 2021 Jun 23.
4
Toxicity Profiles and Survival Outcomes Among Patients With Nonmetastatic Nasopharyngeal Carcinoma Treated With Intensity-Modulated Proton Therapy vs Intensity-Modulated Radiation Therapy.接受调强质子治疗与调强放射治疗的非转移性鼻咽癌患者的毒性谱和生存结局。
JAMA Netw Open. 2021 Jun 1;4(6):e2113205. doi: 10.1001/jamanetworkopen.2021.13205.
5
Metronomic capecitabine as adjuvant therapy in locoregionally advanced nasopharyngeal carcinoma: a multicentre, open-label, parallel-group, randomised, controlled, phase 3 trial.节拍式卡培他滨作为局部晚期鼻咽癌辅助治疗:一项多中心、开放标签、平行分组、随机、对照、3 期临床试验。
Lancet. 2021 Jul 24;398(10297):303-313. doi: 10.1016/S0140-6736(21)01123-5. Epub 2021 Jun 7.
6
Induction chemotherapy with lobaplatin and fluorouracil versus cisplatin and fluorouracil followed by chemoradiotherapy in patients with stage III-IVB nasopharyngeal carcinoma: an open-label, non-inferiority, randomised, controlled, phase 3 trial.洛铂联合氟尿嘧啶与顺铂联合氟尿嘧啶诱导化疗后同期放化疗治疗局部晚期鼻咽癌的随机、开放、非劣效、对照、Ⅲ期临床试验
Lancet Oncol. 2021 May;22(5):716-726. doi: 10.1016/S1470-2045(21)00075-9. Epub 2021 Apr 12.
7
Efficacy, Safety, and Correlative Biomarkers of Toripalimab in Previously Treated Recurrent or Metastatic Nasopharyngeal Carcinoma: A Phase II Clinical Trial (POLARIS-02).特瑞普利单抗治疗复发或转移性鼻咽癌的疗效、安全性及相关生物标志物:一项 II 期临床试验(POLARIS-02)。
J Clin Oncol. 2021 Mar 1;39(7):704-712. doi: 10.1200/JCO.20.02712. Epub 2021 Jan 25.
8
Chemotherapy in Combination With Radiotherapy for Definitive-Intent Treatment of Stage II-IVA Nasopharyngeal Carcinoma: CSCO and ASCO Guideline.《CSCO/ASCO 鼻咽癌临床诊疗指南》:放化疗用于局部晚期鼻咽癌的根治性治疗
J Clin Oncol. 2021 Mar 1;39(7):840-859. doi: 10.1200/JCO.20.03237. Epub 2021 Jan 6.
9
Meta-Analysis on Induction Chemotherapy in Locally Advanced Nasopharyngeal Carcinoma.局部晚期鼻咽癌诱导化疗的荟萃分析。
Oncologist. 2021 Jan;26(1):e130-e141. doi: 10.1002/ONCO.13520. Epub 2020 Oct 1.
10
Efficacy and Safety of Locoregional Radiotherapy With Chemotherapy vs Chemotherapy Alone in De Novo Metastatic Nasopharyngeal Carcinoma: A Multicenter Phase 3 Randomized Clinical Trial.局部区域放射治疗联合化疗对比单纯化疗治疗初诊转移性鼻咽癌的疗效和安全性:一项多中心 3 期随机临床试验。
JAMA Oncol. 2020 Sep 1;6(9):1345-1352. doi: 10.1001/jamaoncol.2020.1808.