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精准医学时代亚厘米级肺癌诊断与治疗的进展(综述)

Advancements in the diagnosis and treatment of sub‑centimeter lung cancer in the era of precision medicine (Review).

作者信息

Wang Xiao, Shi Jingwei, Liu Zhengcheng

机构信息

Department of Thoracic Surgery, Nanjing Drum Tower Hospital, Clinical College of Nanjing Medical University, Nanjing, Jiangsu 210008, P.R. China.

Department of Thoracic Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, P.R. China.

出版信息

Mol Clin Oncol. 2024 Feb 9;20(4):28. doi: 10.3892/mco.2024.2726. eCollection 2024 Apr.

DOI:10.3892/mco.2024.2726
PMID:38414512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10895471/
Abstract

Lung cancer is the malignancy with the highest global mortality rate and imposes a substantial burden on society. The increasing popularity of lung cancer screening has led to increasing number of patients being diagnosed with pulmonary nodules due to their potential for malignancy, causing considerable distress in the affected population. However, the diagnosis and treatment of sub-centimeter grade pulmonary nodules remain controversial. The evolution of genetic detection technology and the development of targeted drugs have positioned the diagnosis and treatment of lung cancer in the precision medicine era, leading to a marked improvement in the survival rate of patients with lung cancer. It has been established that lung cancer driver genes serve a key role in the development and progression of sub-centimeter lung cancer. The present review aimed to consolidate the findings on genes associated with sub-centimeter lung cancer, with the intent of serving as a reference for future studies and the personalized management of sub-centimeter lung cancer through genetic testing.

摘要

肺癌是全球死亡率最高的恶性肿瘤,给社会带来了沉重负担。肺癌筛查的日益普及导致越来越多的患者因肺部结节具有恶性潜能而被诊断出来,这给受影响人群带来了相当大的困扰。然而,亚厘米级肺部结节的诊断和治疗仍存在争议。基因检测技术的发展和靶向药物的研发使肺癌的诊断和治疗进入了精准医学时代,显著提高了肺癌患者的生存率。已经确定,肺癌驱动基因在亚厘米级肺癌的发生和发展中起关键作用。本综述旨在汇总与亚厘米级肺癌相关基因的研究结果,为未来的研究以及通过基因检测对亚厘米级肺癌进行个性化管理提供参考。

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本文引用的文献

1
Personalized Treatment for Patients With Lung Cancer.肺癌患者的个体化治疗。
Dtsch Arztebl Int. 2023 Apr 28;120(17):300-310. doi: 10.3238/arztebl.m2023.0012.
2
Lobar or Sublobar Resection for Peripheral Stage IA Non-Small-Cell Lung Cancer.肺段或亚肺叶切除术治疗外周型ⅠA 期非小细胞肺癌。
N Engl J Med. 2023 Feb 9;388(6):489-498. doi: 10.1056/NEJMoa2212083.
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[Robot-assisted Segmentectomy for Lung Cancer].[机器人辅助肺癌肺段切除术]
Kyobu Geka. 2023 Jan;76(1):79-83.
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Landscape of Savolitinib Development for the Treatment of Non-Small Cell Lung Cancer with MET Alteration-A Narrative Review.赛沃替尼治疗MET改变的非小细胞肺癌的研发概况——一篇叙述性综述
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Predictive biomarkers for response to trametinib in non-small cell lung cancer.非小细胞肺癌中对曲美替尼反应的预测生物标志物。
Tumour Biol. 2022;44(1):249-267. doi: 10.3233/TUB-220009.
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Establishment of a malignancy and benignancy prediction model of sub-centimeter pulmonary ground-glass nodules based on the inflammation-cancer transformation theory.基于炎症-癌转化理论建立亚厘米级肺磨玻璃结节良恶性预测模型
Front Med (Lausanne). 2022 Oct 5;9:1007589. doi: 10.3389/fmed.2022.1007589. eCollection 2022.
7
Genomic landscape of lung adenocarcinomas in different races.不同种族肺腺癌的基因组图谱
Front Oncol. 2022 Sep 28;12:946625. doi: 10.3389/fonc.2022.946625. eCollection 2022.
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Comprehensive characterization of genomic and radiologic features reveals distinct driver patterns of RTK/RAS pathway in ground-glass opacity pulmonary nodules.全面的基因组和影像学特征分析揭示了磨玻璃密度肺结节中 RTK/RAS 通路的不同驱动模式。
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J Clin Oncol. 2022 Nov 1;40(31):3587-3592. doi: 10.1200/JCO.21.02911. Epub 2022 Aug 12.
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