Aix Marseille Univ, APHM, Univ Gustave Eiffel, LBA, Bd Pierre Dramard, 13916, Marseille, France; Conception University Hospital, Department of Oral and Maxillofacial Surgery, 147 Bd Baille, Marseille, 13005, France.
Department of Oral Medicine, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.
J Craniomaxillofac Surg. 2023 Oct;51(10):591-596. doi: 10.1016/j.jcms.2023.10.003. Epub 2023 Oct 11.
The aim of our study was to review current concepts in targeted therapies for benign tumors of the jaw. Benign odontogenic and maxillofacial bone tumors often require radical surgery, with consequent morbidity that impacts patients' postsurgical quality of life. Currently, targeted therapies and novel nonsurgical therapeutics are being explored for management of non-resectable tumors, with the aim of avoiding surgery or minimizing surgical scope. However, data on clinical applications of targeted therapies for benign tumors of the jaw remain sparse. Therefore, a literature review was conducted, based on the PubMed database, which included in vivo human clinical studies describing clinical application of targeted therapy for benign tumor of the jaw. The review assessed the outcomes of BRAF and MEK inhibitors for treatment of ameloblastoma, RANKL monoclonal antibody for treatment of giant cell tumor, cherubism, aneurysmal bone cyst, and fibrous dysplasia, and tyrosine kinase inhibitor for treatment of odontogenic myxoma and cherubism. Targeted therapies decreased tumor size, slowed down tumor progression, and reduced bone pain. Surgery remains the gold standard, but targeted therapies are promising adjuvant or alternative treatment options for reducing tumor progression and morbidity of tumor surgery.
我们的研究目的是回顾目前针对颌骨良性肿瘤的靶向治疗概念。良性牙源性和颌面骨肿瘤常需要根治性手术,随之而来的发病率会影响患者术后的生活质量。目前,正在探索针对不可切除肿瘤的靶向治疗和新型非手术治疗方法,旨在避免手术或最大限度地减少手术范围。然而,关于颌骨良性肿瘤靶向治疗的临床应用数据仍然很少。因此,我们进行了一项文献综述,基于 PubMed 数据库,其中包括描述针对颌骨良性肿瘤的靶向治疗的临床应用的体内人体临床研究。该综述评估了 BRAF 和 MEK 抑制剂治疗成釉细胞瘤、RANKL 单克隆抗体治疗巨细胞瘤、 cherubism、动脉瘤样骨囊肿和纤维结构不良、酪氨酸激酶抑制剂治疗牙源性黏液瘤和 cherubism 的疗效。靶向治疗可缩小肿瘤大小、减缓肿瘤进展并减轻骨痛。手术仍然是金标准,但靶向治疗是减少肿瘤进展和肿瘤手术发病率的有前途的辅助或替代治疗选择。