Golara Anna, Kozłowski Mateusz, Cymbaluk-Płoska Aneta
Department of Reconstructive Surgery and Gynecological Oncology, Pomeranian Medical University in Szczecin, Al. Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland.
Cancers (Basel). 2024 Sep 10;16(18):3117. doi: 10.3390/cancers16183117.
Ovarian cancer is the deadliest of all gynecological diseases because its diagnosis and treatment still pose many problems. Surgical excision, hormone therapy, radiation, chemotherapy, or targeted therapy for eradicating the main tumor and halting the spread of metastases are among the treatment options available to individuals with ovarian cancer, depending on the disease's stage. Tumor DNA that circulates in a patient's bodily fluids has been studied recently as a possible novel biomarker for a number of cancers, as well as a means of quantifying tumor size and evaluating the efficacy of cancer therapy. The most significant alterations that we could find in the ctDNA of ovarian cancer patients-such as chromosomal instability, somatic mutations, and methylation-are discussed in this review. Additionally, we talk about the utility of ctDNA in diagnosis, prognosis, and therapy response prediction for these patients.
卵巢癌是所有妇科疾病中最致命的,因为其诊断和治疗仍然存在许多问题。根据疾病阶段,手术切除、激素疗法、放疗、化疗或靶向疗法用于根除主要肿瘤并阻止转移扩散,这些都是卵巢癌患者可采用的治疗选择。最近,已对患者体液中循环的肿瘤DNA进行研究,它可能是多种癌症的新型生物标志物,也是量化肿瘤大小和评估癌症治疗疗效的一种手段。在本综述中,我们讨论了在卵巢癌患者的循环肿瘤DNA(ctDNA)中发现的最显著变化,如染色体不稳定、体细胞突变和甲基化。此外,我们还探讨了ctDNA在这些患者的诊断、预后及治疗反应预测方面的效用。