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重新审视癌症检测与治疗的标准,并将其与现代方法进行比较。

Revisiting the standards of cancer detection and therapy alongside their comparison to modern methods.

作者信息

Gromek Piotr, Senkowska Zuzanna, Płuciennik Elżbieta, Pasieka Zbigniew, Zhao Lin-Yong, Gielecińska Adrianna, Kciuk Mateusz, Kłosiński Karol, Kałuzińska-Kołat Żaneta, Kołat Damian

机构信息

Department of Functional Genomics, Medical University of Lodz, Lodz 90-752, Lodzkie, Poland.

Department of Biomedicine and Experimental Surgery, Medical University of Lodz, Lodz 90-136, Lodzkie, Poland.

出版信息

World J Methodol. 2024 Jun 20;14(2):92982. doi: 10.5662/wjm.v14.i2.92982.

Abstract

In accordance with the World Health Organization data, cancer remains at the forefront of fatal diseases. An upward trend in cancer incidence and mortality has been observed globally, emphasizing that efforts in developing detection and treatment methods should continue. The diagnostic path typically begins with learning the medical history of a patient; this is followed by basic blood tests and imaging tests to indicate where cancer may be located to schedule a needle biopsy. Prompt initiation of diagnosis is crucial since delayed cancer detection entails higher costs of treatment and hospitalization. Thus, there is a need for novel cancer detection methods such as liquid biopsy, elastography, synthetic biosensors, fluorescence imaging, and reflectance confocal microscopy. Conventional therapeutic methods, although still common in clinical practice, pose many limitations and are unsatisfactory. Nowadays, there is a dynamic advancement of clinical research and the development of more precise and effective methods such as oncolytic virotherapy, exosome-based therapy, nanotechnology, dendritic cells, chimeric antigen receptors, immune checkpoint inhibitors, natural product-based therapy, tumor-treating fields, and photodynamic therapy. The present paper compares available data on conventional and modern methods of cancer detection and therapy to facilitate an understanding of this rapidly advancing field and its future directions. As evidenced, modern methods are not without drawbacks; there is still a need to develop new detection strategies and therapeutic approaches to improve sensitivity, specificity, safety, and efficacy. Nevertheless, an appropriate route has been taken, as confirmed by the approval of some modern methods by the Food and Drug Administration.

摘要

根据世界卫生组织的数据,癌症仍然是致命疾病的首要原因。全球范围内癌症发病率和死亡率呈上升趋势,这强调了开发检测和治疗方法的努力应持续进行。诊断过程通常从了解患者的病史开始;随后进行基本血液检测和成像检测,以确定癌症可能所在的位置,进而安排穿刺活检。及时启动诊断至关重要,因为癌症检测延迟会带来更高的治疗和住院成本。因此,需要新型癌症检测方法,如液体活检、弹性成像、合成生物传感器、荧光成像和反射共聚焦显微镜。传统治疗方法虽然在临床实践中仍然常见,但存在许多局限性且不尽人意。如今,临床研究有了动态进展,开发出了更精确有效的方法,如溶瘤病毒疗法、基于外泌体的疗法、纳米技术、树突状细胞、嵌合抗原受体、免疫检查点抑制剂、基于天然产物的疗法、肿瘤治疗电场和光动力疗法。本文比较了癌症检测和治疗的传统方法与现代方法的现有数据,以促进对这个快速发展领域及其未来方向的理解。事实证明,现代方法并非没有缺点;仍然需要开发新的检测策略和治疗方法,以提高敏感性、特异性、安全性和疗效。尽管如此,正如一些现代方法获得美国食品药品监督管理局的批准所证实的那样,已经走上了一条合适的道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a4/11229876/04ea8189e036/92982-g001.jpg

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