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鼻咽癌早期检测的最新进展

Recent advances in early detection of nasopharyngeal carcinoma.

作者信息

Jiang Wen, Zheng Bohao, Wei Hongquan

机构信息

China Medical University, Shengyang, China.

Department of Otorhinolaryngology, First Affiliated Hospital of China Medical University, Shenyang, China.

出版信息

Discov Oncol. 2024 Aug 23;15(1):365. doi: 10.1007/s12672-024-01242-3.

DOI:10.1007/s12672-024-01242-3
PMID:39177900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11343961/
Abstract

Nasopharyngeal carcinoma (NPC) arises from the mucosal epithelium of the nasopharynx and is frequently located in the pharyngeal crypts. This is a highly aggressive malignant tumor that frequently leads to distant metastases in many cases and poses a significant public health challenge, particularly in certain geographic regions globally. This review discusses the epidemiology, risk factors, diagnosis, and treatment options for NPC, emphasizing the importance of early detection and comprehensive management strategies in improving patient outcomes. Moreover, the article explores the intricate mechanisms that cause NPC. Comprehending these fundamental principles can assist in creating specific prevention and therapy approaches for NPC. Recent advances in diagnostic methods, including imaging tests and molecular biomarkers, are emphasized to improve early diagnosis and individualized treatment strategies for individuals with NPC. The review also explores the most recent advancements in treating early-stage (stage I and II) NPC patients, highlighting the changing landscape of individualized therapy approaches for this particular set of patients.

摘要

鼻咽癌(NPC)起源于鼻咽部的黏膜上皮,常位于咽隐窝。这是一种侵袭性很强的恶性肿瘤,在许多情况下常导致远处转移,对公共卫生构成重大挑战,特别是在全球某些地理区域。本综述讨论了鼻咽癌的流行病学、危险因素、诊断和治疗选择,强调了早期检测和综合管理策略对改善患者预后的重要性。此外,本文还探讨了导致鼻咽癌的复杂机制。理解这些基本原理有助于制定针对鼻咽癌的特定预防和治疗方法。文中强调了诊断方法的最新进展,包括影像学检查和分子生物标志物,以改善鼻咽癌患者的早期诊断和个体化治疗策略。该综述还探讨了早期(I期和II期)鼻咽癌患者治疗的最新进展,突出了针对这组特定患者的个体化治疗方法的不断变化的格局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d896/11343961/136356523c8b/12672_2024_1242_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d896/11343961/1433bb28481f/12672_2024_1242_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d896/11343961/136356523c8b/12672_2024_1242_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d896/11343961/1433bb28481f/12672_2024_1242_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d896/11343961/136356523c8b/12672_2024_1242_Fig2_HTML.jpg

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Braz J Otorhinolaryngol. 2025 Apr 25;91(4):101618. doi: 10.1016/j.bjorl.2025.101618.

本文引用的文献

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SEPT9, H4C6, and RASSF1A methylation in nasopharyngeal swabs: A reflection of potential minimally invasive biomarkers for early screening of nasopharyngeal cancer.鼻咽拭子中 SEPT9、H4C6 和 RASSF1A 的甲基化:潜在微创生物标志物用于早期筛查鼻咽癌的反映。
Medicine (Baltimore). 2023 Dec 15;102(50):e36583. doi: 10.1097/MD.0000000000036583.
2
Precision medicine in nasopharyngeal carcinoma: comprehensive review of past, present, and future prospect.鼻咽癌精准医学:过去、现在和未来展望的全面综述。
J Transl Med. 2023 Nov 6;21(1):786. doi: 10.1186/s12967-023-04673-8.
3
Residual plasma Epstein-Barr virus DNA after intensity-modulated radiation therapy is associated with poor outcomes in nasopharyngeal carcinoma.
调强放疗后残留血浆 Epstein-Barr 病毒 DNA 与鼻咽癌不良预后相关。
Future Oncol. 2023 Oct;19(33):2227-2235. doi: 10.2217/fon-2023-0818. Epub 2023 Nov 1.
4
Early screening of nasopharyngeal carcinoma.鼻咽癌的早期筛查。
Head Neck. 2023 Oct;45(10):2700-2709. doi: 10.1002/hed.27466. Epub 2023 Aug 8.
5
Development and analytical validation of a novel nasopharynx swab-based Epstein-Barr virus C promoter methylation quantitative assay for nasopharyngeal carcinoma detection.开发并验证一种新型基于鼻咽拭子的 Epstein-Barr 病毒 C 启动子甲基化定量检测方法,用于鼻咽癌的检测。
Clin Chem Lab Med. 2023 Aug 4;62(1):187-198. doi: 10.1515/cclm-2023-0510. Print 2024 Jan 26.
6
Performance and Operational Feasibility of Epstein-Barr Virus-Based Screening for Detection of Nasopharyngeal Carcinoma: Direct Comparison of Two Alternative Approaches.基于 Epstein-Barr 病毒的鼻咽癌筛查的性能和操作可行性:两种替代方法的直接比较。
J Clin Oncol. 2023 Sep 10;41(26):4257-4266. doi: 10.1200/JCO.22.01979. Epub 2023 Jul 21.
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High-throughput identification of regulatory elements and functional assays to uncover susceptibility genes for nasopharyngeal carcinoma.高通量鉴定调控元件和功能测定,以揭示鼻咽癌易感性基因。
Am J Hum Genet. 2023 Jul 6;110(7):1162-1176. doi: 10.1016/j.ajhg.2023.06.003. Epub 2023 Jun 22.
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J Med Virol. 2023 Jun;95(6):e28860. doi: 10.1002/jmv.28860.
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Constructing an individualized surveillance framework for nasopharyngeal carcinoma based on a dynamic risk-adapted approach.基于动态风险适应方法构建个体化鼻咽癌监测框架。
Radiother Oncol. 2023 Aug;185:109716. doi: 10.1016/j.radonc.2023.109716. Epub 2023 May 18.
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Nasopharyngeal carcinoma. A "different" head and neck tumour. Part B: treatment, prognostic factors, and outcomes.鼻咽癌。一种“独特的”头颈部肿瘤。B部分:治疗、预后因素及结果。
Acta Otorhinolaryngol Ital. 2023 Jun;43(3):155-169. doi: 10.14639/0392-100X-N2223.