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传统中医药,特别是在肝癌治疗方面的前景与挑战。

Promise and challenges of traditional Chinese medicine, specifically , in liver cancer treatment.

机构信息

School of Medicine, Nankai University, Tianjin 300071, China.

Department of General Surgery, The First Medical Center of Chinese People's Liberation Army General Hospital, Beijing 100853, China.

出版信息

World J Gastroenterol. 2024 Oct 28;30(40):4380-4385. doi: 10.3748/wjg.v30.i40.4380.

Abstract

Liver cancer, one of the most common malignancies worldwide, ranks sixth in incidence and third in mortality. Liver cancer treatment options are diverse, including surgical resection, liver transplantation, percutaneous ablation, transarterial chemoembolization, radiotherapy, chemotherapy, targeted therapy, immunotherapy, and traditional Chinese medicine (TCM). A multidisciplinary team (MDT) is essential to customize treatment plans based on tumor staging, liver function, and performance status (PS), ensuring individualized patient care. Treatment decisions require a MDT to tailor strategies based on tumor staging, liver function, and PS, ensuring personalized care. The approval of new first-line and second-line drugs and the establishment of standard treatments based on immune checkpoint inhibitors have significantly expanded treatment options for advanced liver cancer, improving overall prognosis. However, many patients do not respond effectively to these treatments and ultimately succumb to the disease. Modern oncology treatments, while extending patient survival, often come with severe side effects, resistance, and damage to the body, negatively impacting quality of life. Huang 's study published at rigorously validates the anticancer properties of , enhancing our understanding of TCM and contributing to new liver cancer treatment strategies. For over 5000 years, TCM has been used in East Asian countries like China to treat various diseases, including liver conditions. Analysis of real-world clinical data suggests that for patients with advanced-stage tumors lacking effective treatments, integrated TCM therapies could provide significant breakthroughs.

摘要

肝癌是全球最常见的恶性肿瘤之一,发病率位居第六,死亡率位居第三。肝癌的治疗方法多种多样,包括手术切除、肝移植、经皮消融、经动脉化疗栓塞、放疗、化疗、靶向治疗、免疫治疗和中医药(TCM)。多学科团队(MDT)是根据肿瘤分期、肝功能和体能状态(PS)制定个体化治疗计划的关键,以确保患者得到个体化的护理。治疗决策需要 MDT 根据肿瘤分期、肝功能和 PS 来制定策略,以确保个性化的护理。新的一线和二线药物的批准以及基于免疫检查点抑制剂的标准治疗方案的建立,极大地扩展了晚期肝癌的治疗选择,改善了整体预后。然而,许多患者对这些治疗方法没有有效反应,最终还是死于该疾病。现代肿瘤学治疗虽然延长了患者的生存时间,但往往伴随着严重的副作用、耐药性和对身体的损害,对生活质量产生负面影响。Huang 的研究在严格的条件下验证了 的抗癌特性,增进了我们对 TCM 的理解,并为新的肝癌治疗策略提供了依据。5000 多年来,中医药一直在包括中国在内的东亚国家用于治疗各种疾病,包括肝脏疾病。对真实世界临床数据的分析表明,对于缺乏有效治疗方法的晚期肿瘤患者,综合中医药疗法可能会带来重大突破。

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