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免疫功能低下患者头颈部皮肤鳞状细胞癌和基底细胞癌的管理

Management of Cutaneous Head and Neck Squamous and Basal Cell Carcinomas for Immunocompromised Patients.

作者信息

Bommakanti Krishna K, Kosaraju Nikitha, Tam Kenric, Chai-Ho Wanxing, St John Maie

机构信息

Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1624, USA.

UCLA Head and Neck Cancer Program (HNCP), David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1624, USA.

出版信息

Cancers (Basel). 2023 Jun 26;15(13):3348. doi: 10.3390/cancers15133348.

DOI:10.3390/cancers15133348
PMID:37444461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10340306/
Abstract

The incidence of non-melanoma skin cancer (NMSC) continues to rise, and more than one million cases are diagnosed in the United States each year. The increase in prevalence has been attributed to increased lifespan and improvements in survival for conditions that increase the risk of these malignancies. Patients who are immunocompromised have a higher risk of developing NMSC compared to the general population. In immunosuppressed patients, a combination of prevention, frequent surveillance, and early intervention are necessary to reduce morbidity and mortality. In this review, we collate and summarize current knowledge regarding pathogenesis of head and neck cutaneous SCC and BCC within immunocompromised patients, examine the potential role of the immune response in disease progression, and detail the role of novel immunotherapies in this subset of patients.

摘要

非黑色素瘤皮肤癌(NMSC)的发病率持续上升,美国每年有超过100万例病例被诊断出来。患病率的增加归因于寿命延长以及增加这些恶性肿瘤风险的疾病在生存率方面的改善。与普通人群相比,免疫功能低下的患者发生NMSC的风险更高。在免疫抑制患者中,预防、频繁监测和早期干预相结合对于降低发病率和死亡率是必要的。在这篇综述中,我们整理并总结了关于免疫功能低下患者头颈部皮肤鳞状细胞癌(SCC)和基底细胞癌(BCC)发病机制的现有知识,研究免疫反应在疾病进展中的潜在作用,并详细阐述新型免疫疗法在这一患者亚组中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c834/10340306/ef31f2e26301/cancers-15-03348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c834/10340306/ef31f2e26301/cancers-15-03348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c834/10340306/ef31f2e26301/cancers-15-03348-g001.jpg

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本文引用的文献

1
Nicotinamide for Skin-Cancer Chemoprevention in Transplant Recipients.烟酰胺用于预防移植受者的皮肤癌。
N Engl J Med. 2023 Mar 2;388(9):804-812. doi: 10.1056/NEJMoa2203086.
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Wnt Signaling Pathways: From Inflammation to Non-Melanoma Skin Cancers.Wnt 信号通路:从炎症到非黑素瘤皮肤癌。
Int J Mol Sci. 2023 Jan 13;24(2):1575. doi: 10.3390/ijms24021575.
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Keratinocytic skin cancers-Update on the molecular biology.角化细胞性皮肤癌——分子生物学的最新进展。
Cancer. 2023 Mar 15;129(6):836-844. doi: 10.1002/cncr.34635. Epub 2023 Jan 16.
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Skin Cancer in Solid Organ Transplant Recipients: A Review for the Nondermatologist.实体器官移植受者的皮肤癌:非皮肤科医生的综述。
Mayo Clin Proc. 2022 Dec;97(12):2355-2368. doi: 10.1016/j.mayocp.2022.07.004. Epub 2022 Nov 3.
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Molecular Mechanisms and Targeted Therapies of Advanced Basal Cell Carcinoma.晚期基底细胞癌的分子机制和靶向治疗。
Int J Mol Sci. 2022 Oct 8;23(19):11968. doi: 10.3390/ijms231911968.
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Advances in Management and Therapeutics of Cutaneous Basal Cell Carcinoma.皮肤基底细胞癌的管理与治疗进展
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7
Advances in Cutaneous Squamous Cell Carcinoma Management.皮肤鳞状细胞癌治疗进展
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Response to comment on "Merkel cell carcinoma: An updated review of pathogenesis, diagnosis, and treatment options".对“ Merkel细胞癌:发病机制、诊断及治疗选择的最新综述”评论的回应
Dermatol Ther. 2022 Jul;35(7):e15581. doi: 10.1111/dth.15581. Epub 2022 May 26.
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Photodynamic therapy of intravenous injection combined with intratumoral administration of photosensitizer in squamous cell carcinoma.静脉注射光动力疗法联合肿瘤内注射光敏剂治疗鳞状细胞癌。
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Adv Ther. 2022 Mar;39(3):1164-1178. doi: 10.1007/s12325-022-02044-1. Epub 2022 Jan 28.