Hsu Cheng-Lung, Chang Yu-Sun, Li Hsin-Pai
Division of Hematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Graduate Institute of Biomedical Sciences, Chang Gung University, Taoyuan, Taiwan; Molecular Medicine Research Center, Chang Gung University, Taoyuan, Taiwan; Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Biomed J. 2025 Feb;48(1):100748. doi: 10.1016/j.bj.2024.100748. Epub 2024 May 23.
Nasopharyngeal carcinoma (NPC) is a malignant tumor originated from the nasopharynx epithelial cells and has been linked with Epstein-Barr virus (EBV) infection, dietary habits, environmental and genetic factors. It is a common malignancy in Southeast Asia, especially with gender preference among men. Due to its non-specific symptoms, NPC is often diagnosed at a late stage. Thus, the molecular diagnosis of NPC plays a crucial role in early detection, treatment selection, disease monitoring, and prognosis prediction. This review aims to provide a summary of the current state and the latest emerging molecular diagnostic techniques for NPC, including EBV-related biomarkers, gene mutations, liquid biopsy, and DNA methylation. Challenges and potential future directions of NPC molecular diagnosis will be discussed.
鼻咽癌(NPC)是一种起源于鼻咽上皮细胞的恶性肿瘤,与爱泼斯坦-巴尔病毒(EBV)感染、饮食习惯、环境和遗传因素有关。它是东南亚常见的恶性肿瘤,尤其在男性中存在性别偏好。由于其症状不具特异性,鼻咽癌常在晚期才被诊断出来。因此,鼻咽癌的分子诊断在早期检测、治疗选择、疾病监测和预后预测中起着至关重要的作用。本综述旨在总结鼻咽癌当前的状况以及最新出现的分子诊断技术,包括EBV相关生物标志物、基因突变、液体活检和DNA甲基化。还将讨论鼻咽癌分子诊断面临的挑战和潜在的未来发展方向。