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超越界限:揭示创新方法以应对骨转移性癌症。

Beyond boundaries: unraveling innovative approaches to combat bone-metastatic cancers.

机构信息

Department of Surgical Oncology, Hangzhou Cancer Hospital, Hangzhou, Zhejiang, China.

Department of Colorectal Surgery, Affiliated Jinhua Hosptial, Zhejiang University School of Medicine, Jinhua, Zhejiang, China.

出版信息

Front Endocrinol (Lausanne). 2024 Jan 8;14:1260491. doi: 10.3389/fendo.2023.1260491. eCollection 2023.

Abstract

Evidence demonstrated that bones, liver, and lungs are the most common metastasis sites in some human malignancies, especially in prostate and breast cancers. Bone is the third most frequent target for spreading tumor cells among these organs and tissues. Patients with bone-metastatic cancers face a grim prognosis characterized by short median survival time. Current treatments have proven insufficient, as they can only inhibit metastasis or tumor progression within the bone tissues rather than providing a curative solution. Gaining a more profound comprehension of the interplay between tumor cells and the bone microenvironment (BME) is of utmost importance in tackling this issue. This knowledge will pave the way for developing innovative diagnostic and therapeutic approaches. This review summarizes the mechanisms underlying bone metastasis and discusses the clinical aspects of this pathologic condition. Additionally, it highlights emerging therapeutic interventions aimed at enhancing the quality of life for patients affected by bone-metastatic cancers. By synthesizing current research, this review seeks to shed light on the complexities of bone metastasis and offer insights for future advancements in patient care.

摘要

有证据表明,骨骼、肝脏和肺部是某些人类恶性肿瘤(尤其是前列腺癌和乳腺癌)最常见的转移部位。在这些器官和组织中,骨骼是肿瘤细胞扩散的第三大常见目标。患有骨转移癌的患者预后严峻,中位生存时间短。目前的治疗方法已被证明不够有效,因为它们只能抑制骨骼组织内的转移或肿瘤进展,而不能提供治愈方法。深入了解肿瘤细胞与骨微环境(BME)之间的相互作用对于解决这个问题至关重要。这方面的知识将为开发创新的诊断和治疗方法铺平道路。

本篇综述总结了骨转移的发生机制,并讨论了这种病理状况的临床方面。此外,还强调了旨在提高骨转移癌患者生活质量的新兴治疗干预措施。通过综合当前的研究,本篇综述旨在揭示骨转移的复杂性,并为患者护理的未来进展提供见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4706/10800370/637cd0b11fec/fendo-14-1260491-g001.jpg

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