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结直肠癌的分子亚型分型:通向个性化治疗的桥梁(综述)

Molecular subtyping in colorectal cancer: A bridge to personalized therapy (Review).

作者信息

Wang Chunlin, Zhang Hao, Liu Yunxiao, Wang Yuliuming, Hu Hanqing, Wang Guiyu

机构信息

Department of Colorectal Cancer Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150086, P.R. China.

出版信息

Oncol Lett. 2023 Apr 18;25(6):230. doi: 10.3892/ol.2023.13816. eCollection 2023 Jun.

Abstract

Colorectal cancer (CRC) is a malignant tumor and a major cause of morbidity and mortality globally. The classic Tumor-Node-Metastasis staging system, which currently underlies the diagnosis and treatment of CRC, is primarily a 'one drug fits all' model for patients exhibiting the same pathological features. However, a high degree of variability has been established in the long-term survival outcomes of patients with CRC with similar pathological types and stages, which can be partially attributed to tumor-specific molecular biology to some extent. Molecular classification of CRC can further assist with understanding the biological behavior of tumor genesis, development and prognosis, and assist clinicians in improving or customizing the treatment strategy of CRC. In the present study, clinical studies carried out to date are reviewed, and their clinical value is discussed. A multilevel overview of the major molecular types of CRC is provided, in the hope that investigators are encouraged to combine multiple omics studies for interrogating cancer.

摘要

结直肠癌(CRC)是一种恶性肿瘤,是全球发病和死亡的主要原因。目前作为CRC诊断和治疗基础的经典肿瘤-淋巴结-转移分期系统,主要是针对具有相同病理特征的患者的“一刀切”模式。然而,具有相似病理类型和分期的CRC患者的长期生存结果存在高度变异性,这在一定程度上可部分归因于肿瘤特异性分子生物学。CRC的分子分类有助于进一步了解肿瘤发生、发展和预后的生物学行为,并协助临床医生改进或定制CRC的治疗策略。在本研究中,回顾了迄今为止开展的临床研究,并讨论了其临床价值。提供了CRC主要分子类型的多层次概述,希望鼓励研究人员结合多项组学研究来探究癌症。

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