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[实体肿瘤分子诊断的局部进展与挑战:智利精准肿瘤学的健康视角]

[Local advances and challenges in the molecular diagnosis of solid tumors: a health perspective towards precision oncology in Chile].

作者信息

Marcelain Katherine, Selman-Bravo Carolina, García-Bloj Benjamín, Bustamante Eva, Fernández Jorge, Gaete Fancy, Moyano Leonor, Bustos Juan Carlos, Plaza-Parroquia Francisca, Godoy Juan A, Garrido Marcelo, Labbé Tomás P, Ríos Juvenal A

机构信息

Departamento de Oncología Básico-Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Subdirección de Servicios de Diagnóstico Clínico, Instituto Oncológico Fundación Arturo López Pérez, Santiago, Chile.

出版信息

Rev Med Chil. 2023 Oct;151(10):1344-1360. doi: 10.4067/s0034-98872023001001344.

Abstract

Cancer will remain one of the most significant challenges for public health, locally and globally. Currently, cancer is the leading cause of death in our country. Thanks to the enormous knowledge accumulated in recent decades on the cellular and molecular bases of cancer, precision oncology has been developed, an approach that allows for increasingly precise pharmacological treatment based on diagnostic tests. Advanced technologies such as next-generation sequencing are used for this purpose. It is essential to implement these technologies in current and future health systems to optimize the arsenal of strategies for cancer control. This review discusses some of the achievements of precision oncology, particularly applied to solid tumors. It addresses the state-of-the-art minimum biomarkers required for the diagnosis of this important group of neoplasms, the local situation regarding technological capabilities installed in the national territory, either for research or diagnosis, and the potential health impact of applying all this practical knowledge to serve people with cancer, both in the public and private sectors.

摘要

癌症仍将是本地和全球公共卫生面临的最重大挑战之一。目前,癌症是我国的主要死因。得益于近几十年来在癌症细胞和分子基础方面积累的大量知识,精准肿瘤学得以发展,这是一种基于诊断测试实现越来越精确的药物治疗的方法。为此使用了诸如下一代测序等先进技术。在当前和未来的卫生系统中实施这些技术对于优化癌症控制策略至关重要。本综述讨论了精准肿瘤学的一些成就,特别是应用于实体瘤的情况。它阐述了诊断这一重要肿瘤组所需的最新最低生物标志物、国内用于研究或诊断的技术能力的本地情况,以及将所有这些实践知识应用于为公共和私营部门的癌症患者服务可能产生的健康影响。

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