Wang Pei-Pei, Lin Chen, Wang Jane, Margonis Georgios Antonios, Wu Bin
Department of General Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China.
Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China.
Cancers (Basel). 2022 Aug 23;14(17):4067. doi: 10.3390/cancers14174067.
Surgery combined with chemotherapy and precision medicine is the only potential treatment for patients with colorectal cancer liver metastases (CRLM). The use of modern molecular biotechnology to identify suitable biomarkers is of great significance for predicting prognosis and formulating individualized treatment plans for these patients. mutations, particularly V600E, are widely believed to be associated with poor prognosis in patients with metastatic CRC (mCRC). However, it is unclear which specific factors affect the prognosis of CRLM patients with mutations. It is also unknown whether patients with resectable CRLM and mutations should undergo surgical treatment since there is an increased recurrence rate after surgery in these patients. In this review, we combined the molecular mechanism and clinical characteristics of BRAF mutations to explore the prognostic significance and potential targeted therapy strategies for patients with -mutated CRLM.
手术联合化疗及精准医疗是结直肠癌肝转移(CRLM)患者唯一可能的治疗方法。利用现代分子生物技术鉴定合适的生物标志物对于预测这些患者的预后及制定个体化治疗方案具有重要意义。BRAF突变,尤其是V600E突变,被广泛认为与转移性结直肠癌(mCRC)患者的不良预后相关。然而,尚不清楚哪些具体因素会影响携带BRAF突变的CRLM患者的预后。对于可切除的携带BRAF突变的CRLM患者是否应接受手术治疗也尚不明确,因为这些患者术后复发率会升高。在本综述中,我们结合BRAF突变的分子机制及临床特征,探讨携带BRAF突变的CRLM患者的预后意义及潜在的靶向治疗策略。