Herrera Gomez Ruth Gabriela, Mederos Nuria, Szturz Petr, Degrauwe Nils, Jankovic Jeremy, Cristina Valérie
Service d'oncologie médicale, Département d'oncologie, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Rev Med Suisse. 2023 May 17;19(827):958-963. doi: 10.53738/REVMED.2023.19.827.958.
Salivary gland carcinomas are rare, characterized by a diversity of histological subtypes associated with variable clinical behavior and prognosis with usually a poor response to chemotherapy. In this context, molecular alterations have been identified and represent potential therapeutic targets: overexpression of human epidermal growth factor receptor 2 (HER2) and androgen receptors in salivary duct cancer, NOTCH mutations in adenoid cystic carcinoma, NTRK gene fusion in secretory carcinoma. Screening for these molecular alterations is mandatory in all patients with recurrent or metastatic salivary gland cancer as it may allow an individualized treatment.
唾液腺癌很罕见,其特征是组织学亚型多样,临床行为和预后各异,通常对化疗反应不佳。在这种情况下,已确定了分子改变并将其作为潜在的治疗靶点:唾液导管癌中人类表皮生长因子受体2(HER2)和雄激素受体的过表达、腺样囊性癌中的NOTCH突变、分泌性癌中的NTRK基因融合。对于所有复发或转移性唾液腺癌患者,必须进行这些分子改变的筛查,因为这可能使治疗个体化。