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[罕见肿瘤:血管肉瘤]

[Rare tumors: Angiosarcoma].

作者信息

El-Ghazzi Nathan, Bay Jacques-Olivier

机构信息

CHU Gabriel-Montpied, service d'oncologie médicale, Clermont-Ferrand, France; Université Clermont Auvergne, Clermont-Ferrand, France.

CHU Gabriel-Montpied, service d'oncologie médicale, Clermont-Ferrand, France; Université Clermont Auvergne, Clermont-Ferrand, France.

出版信息

Bull Cancer. 2023 May;110(5):581-588. doi: 10.1016/j.bulcan.2023.03.002. Epub 2023 Mar 25.

Abstract

Angiosarcomas are a rare subtype representing 1-2% of soft tissue sarcomas. Risk factors are rarely elucidated but radiotherapy and lymphedema are the most common ones, usually following local treatment for local breast cancer. Despite the improvement of our knowledge, the prognosis remains poor with 35-40% of 5 year-overall survival. Local treatment when feasible should include a R0 surgery completed with adjuvant radiation. When metastatic, front lines chemotherapies include doxorubicine or weekly paclitaxel. If possible, in oligometastatic patients, metastasectomy should always be considered allowing the best responses. The knowledge of angiosarcoma's biology is rapidly increasing and new biomarkers are emerging. The use of immunotherapy in particular subtypes including head and neck angiosarcomas shows promising results. The model of the angiosarcoma project, a patient-participating study, seems to be an excellent way to study rare tumors. We should focus our efforts on understanding the underlying molecular biology to propose the best precision medicine for those patients.

摘要

血管肉瘤是一种罕见的亚型,占软组织肉瘤的1%-2%。危险因素很少被阐明,但放疗和淋巴水肿是最常见的因素,通常发生在局部乳腺癌的局部治疗之后。尽管我们的认识有所提高,但预后仍然很差,5年总生存率为35%-40%。可行时,局部治疗应包括R0手术并辅以辅助放疗。发生转移时,一线化疗包括多柔比星或每周一次的紫杉醇。如果可能,对于寡转移患者,应始终考虑进行转移灶切除术,以获得最佳疗效。血管肉瘤生物学的知识正在迅速增加,新的生物标志物也不断涌现。免疫疗法在包括头颈部血管肉瘤在内的特定亚型中的应用显示出有前景的结果。血管肉瘤项目的模式,一项患者参与的研究,似乎是研究罕见肿瘤的绝佳方式。我们应该集中精力了解潜在的分子生物学,为这些患者提出最佳的精准医学方案。

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