Department of Orthopedic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Department of Pediatric Orthopedic Oncology, Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
J Surg Oncol. 2023 Sep;128(3):478-488. doi: 10.1002/jso.27410.
Tenosynovial giant cell tumor (TGCT) is a rare, benign, locally aggressive synovial based neoplastic process that can result in functional debilitation and end-stage arthrtitis. Although surgical resection is the primary treatment modality, novel systemic therapies are emerging as part of the multimodal armamentarium for patients with unresectable or complex disease burden. This review discusses the pathogenesis of TGCT, potential druggable targets and therapeutic approaches. It also evaluates the safety and efficacy of different systemic therapies.
腱鞘巨细胞瘤(TGCT)是一种罕见的良性、局部侵袭性滑膜源性肿瘤,可导致功能障碍和终末期关节炎。虽然手术切除是主要的治疗方式,但新的系统治疗方法作为多模式治疗手段的一部分,正在出现,适用于不可切除或疾病负担复杂的患者。本文讨论了 TGCT 的发病机制、潜在的可用药靶和治疗方法,并评估了不同系统治疗的安全性和疗效。