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纳米材料:甲状腺癌有前途的多模式治疗学平台。

Nanomaterials: a promising multimodal theranostics platform for thyroid cancer.

机构信息

State Key Laboratory of Supramolecular Structure and Materials, College of Chemistry, Jilin University, Changchun, 130012, P. R. China.

Department of Endocrinology, Lequn Branch, The First Hospital of Jilin University, Changchun, 130031, China.

出版信息

J Mater Chem B. 2023 Sep 6;11(32):7544-7566. doi: 10.1039/d3tb01175e.

Abstract

Thyroid cancer is the most prevalent malignant neoplasm of the cervical region and endocrine system, characterized by a discernible upward trend in incidence over recent years. Ultrasound-guided fine needle aspiration is the current standard for preoperative diagnosis of thyroid cancer, albeit with limitations and a certain degree of false-negative outcomes. Although differentiated thyroid carcinoma generally exhibits a favorable prognosis, dedifferentiation is associated with an unfavorable clinical course. Anaplastic thyroid cancer, characterized by high malignancy and aggressiveness, remains an unmet clinical need with no effective treatments available. The emergence of nanomedicine has opened new avenues for cancer theranostics. The unique features of nanomaterials, including multifunctionality, modifiability, and various detection modes, enable non-invasive and convenient thyroid cancer diagnosis through multimodal imaging. For thyroid cancer treatment, nanomaterial-based photothermal therapy or photodynamic therapy, combined with chemotherapy, radiotherapy, or gene therapy, holds promise in reducing invasiveness and prolonging patient survival or alleviating pain in individuals with anaplastic thyroid carcinoma. Furthermore, nanomaterials enable simultaneous diagnosis and treatment of thyroid cancer. This review aims to provide a comprehensive survey of the latest developments in nanomaterials for thyroid cancer diagnosis and treatment and encourage further research in developing innovative and effective theranostic approaches for thyroid cancer.

摘要

甲状腺癌是颈部和内分泌系统最常见的恶性肿瘤,近年来发病率呈明显上升趋势。超声引导下细针抽吸是目前甲状腺癌术前诊断的标准方法,但存在一定的局限性和假阴性结果。尽管分化型甲状腺癌通常具有良好的预后,但去分化与不良的临床过程相关。间变性甲状腺癌恶性程度高,侵袭性强,目前尚无有效的治疗方法,仍是未满足的临床需求。纳米医学的出现为癌症的治疗开辟了新途径。纳米材料的独特特性,包括多功能性、可修饰性和各种检测模式,使通过多模态成像进行非侵入性和方便的甲状腺癌诊断成为可能。对于甲状腺癌的治疗,基于纳米材料的光热疗法或光动力疗法,结合化疗、放疗或基因治疗,有望降低侵袭性,延长患者生存时间或减轻间变性甲状腺癌患者的疼痛。此外,纳米材料还可以实现甲状腺癌的同时诊断和治疗。本综述旨在全面介绍纳米材料在甲状腺癌诊断和治疗方面的最新进展,并鼓励进一步研究开发创新有效的甲状腺癌治疗方法。

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