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液体活检在胰腺癌中的临床应用:综述。

Clinical Application of Liquid Biopsy in Pancreatic Cancer: A Narrative Review.

机构信息

HBP Unit, General Surgery Department, Joan XXIII University Hospital, 43005 Tarragona, Spain.

Medicine and Surgery Department, Rovira i Virgili University, 43204 Reus, Spain.

出版信息

Int J Mol Sci. 2024 Jan 29;25(3):1640. doi: 10.3390/ijms25031640.

DOI:10.3390/ijms25031640
PMID:38338919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10855073/
Abstract

Pancreatic ductal adenocarcinoma contributes significantly to global cancer-related deaths, featuring only a 10% survival rate over five years. The quest for novel tumor markers is critical to facilitate early diagnosis and tailor treatment strategies for this disease, which is key to improving patient outcomes. In pancreatic ductal adenocarcinoma, these markers have been demonstrated to play a crucial role in early identification, continuous monitoring, and prediction of its prognosis and have led to better patient outcomes. Nowadays, biopsy specimens serve to ascertain diagnosis and determine tumor type. However, liquid biopsies present distinct advantages over conventional biopsy techniques. They offer a noninvasive, easily administered procedure, delivering insights into the tumor's status and facilitating real-time monitoring. Liquid biopsies encompass a variety of elements, such as circulating tumor cells, circulating tumor DNA, extracellular vesicles, microRNAs, circulating RNA, tumor platelets, and tumor endothelial cells. This review aims to provide an overview of the clinical applications of liquid biopsy as a technique in the management of pancreatic cancer.

摘要

胰腺导管腺癌是导致全球癌症相关死亡的主要原因,其五年生存率仅为 10%。因此,寻找新的肿瘤标志物对于促进早期诊断和制定针对这种疾病的治疗策略至关重要,这是改善患者预后的关键。在胰腺导管腺癌中,这些标志物已被证明在早期识别、持续监测和预测其预后方面发挥着重要作用,并导致了更好的患者结局。目前,活检标本可用于确定诊断并确定肿瘤类型。然而,液体活检相对于传统的活检技术具有明显的优势。它们提供了一种非侵入性、易于管理的程序,可以深入了解肿瘤的状态,并实现实时监测。液体活检包括多种元素,如循环肿瘤细胞、循环肿瘤 DNA、细胞外囊泡、microRNAs、循环 RNA、肿瘤血小板和肿瘤内皮细胞。本综述旨在概述液体活检作为一种技术在胰腺癌管理中的临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/10855073/28431acc1406/ijms-25-01640-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/10855073/28431acc1406/ijms-25-01640-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/10855073/28431acc1406/ijms-25-01640-g001.jpg

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Cancer Treat Rev. 2023 Nov;120:102604. doi: 10.1016/j.ctrv.2023.102604. Epub 2023 Aug 6.
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Advances in Liquid Biopsy Technology and Implications for Pancreatic Cancer.液体活检技术的进展及其对胰腺癌的影响。
Int J Mol Sci. 2023 Feb 20;24(4):4238. doi: 10.3390/ijms24044238.
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Liquid biopsy leads to a paradigm shift in the treatment of pancreatic cancer.
用于生物标志物发现与验证的随机对照试验中的血样采集:PREOPANC - 2试验经验
Ann Surg Oncol. 2025 Feb 5. doi: 10.1245/s10434-025-16890-0.
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Adequacy of EUS-guided fine-needle aspiration and fine-needle biopsy for next-generation sequencing in pancreatic malignancies: A systematic review and meta-analysis.超声内镜引导下细针穿刺抽吸术和细针活检术用于胰腺恶性肿瘤下一代测序的充分性:一项系统评价和荟萃分析。
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液体活检引发胰腺癌治疗范式转变。
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Noninvasive detection of pancreatic ductal adenocarcinoma using the methylation signature of circulating tumour DNA.利用循环肿瘤 DNA 的甲基化特征无创检测胰腺导管腺癌。
BMC Med. 2022 Nov 25;20(1):458. doi: 10.1186/s12916-022-02647-z.
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Neoadjuvant Chemoradiotherapy Versus Upfront Surgery for Resectable and Borderline Resectable Pancreatic Cancer: Long-Term Results of the Dutch Randomized PREOPANC Trial.可切除和边缘可切除胰腺癌的新辅助放化疗与 upfront 手术比较:荷兰随机 PREOPANC 试验的长期结果。
J Clin Oncol. 2022 Apr 10;40(11):1220-1230. doi: 10.1200/JCO.21.02233. Epub 2022 Jan 27.
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