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胰腺癌生物标志物:致癌突变、组织和液体活检以及放射组学——综述。

Pancreatic Cancer Biomarkers: Oncogenic Mutations, Tissue and Liquid Biopsies, and Radiomics-A Review.

机构信息

General Surgery Department, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-075, Coimbra, Portugal.

Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

出版信息

Dig Dis Sci. 2023 Jul;68(7):2811-2823. doi: 10.1007/s10620-023-07904-6. Epub 2023 Mar 29.

Abstract

Pancreatic cancer is one of the most fatal malignancies, as approximately 80% of patients are at advanced stages by the time of diagnosis. The main reason for the poor overall survival is late diagnosis that is partially due to the lack of tools for early-stage detection. In addition, there are several challenges in evaluating response to treatment and predicting prognosis. In this article, we do a review of the most common pancreatic cancer biomarkers with emphasis in new and promising approaches. Liquid biopsies seem to have important clinical applications in early detection, screening, prognosis, and longitudinal monitoring of on-treatment patients. Together with biomarkers in imaging, can represent valuable alternative non-invasive tools in order to achieve a more effective management of pancreatic cancer patients.

摘要

胰腺癌是最致命的恶性肿瘤之一,大约 80%的患者在诊断时已处于晚期。总体生存率低的主要原因是诊断较晚,部分原因是缺乏早期检测工具。此外,在评估治疗反应和预测预后方面也存在一些挑战。在本文中,我们回顾了最常见的胰腺癌生物标志物,并重点介绍了新的有前途的方法。液体活检在早期检测、筛查、预后和治疗中患者的纵向监测方面似乎具有重要的临床应用。与影像学中的生物标志物一起,它们可以作为有价值的非侵入性替代工具,以实现对胰腺癌患者的更有效管理。

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