Meng Xiangyue, Wang Xin, Zhang Zhihao, Song Linlin, Chen Jie
Department of General Surgery, West China Hospital, Sichuan University, Chengdu, 610041, People's Republic of China.
Breast Center, West China Hospital, Sichuan University, Chengdu, 610041, People's Republic of China.
Int J Nanomedicine. 2024 Dec 31;19:14143-14169. doi: 10.2147/IJN.S494364. eCollection 2024.
Breast cancer surgery plays a pivotal role in the multidisciplinary approaches. Surgical techniques and objectives are gradually shifting from tumor complete resection towards prolonging survival, improving cosmetic outcomes, and restoring the social and psychological well-being of patients. However, surgical treatment still faces challenges such as inadequate sensitivity in sentinel lymph node localization, the need to improve intraoperative tumor boundary localization imaging, postoperative scar healing, and the risk of recurrence, necessitating other adjunct measures for improvement. To address these challenges, specificity-optimized nanomedicines have been introduced into the surgical therapeutic landscape of breast cancer. In particular, this review involves starting with an overview of breast structure and the composition of the tumor microenvironment and then introducing the guiding principle and foundation for the design of nanomedicine. Moreover, we will take the order process of breast cancer surgery diagnosis and treatment as the starting point, and adaptively propose the roles and advantages of nanomedicine in addressing the corresponding issues. Furthermore, we also involved the prospects of utilizing advanced technological approaches. Overall, this review seeks to uncover the sophisticated design and strategies of nanomedicine from a clinical standpoint, address the challenges faced in surgical treatment, and provide insights into this subject matter.
乳腺癌手术在多学科治疗方法中起着关键作用。手术技术和目标正逐渐从肿瘤完全切除转向延长生存期、改善美容效果以及恢复患者的社会和心理健康。然而,手术治疗仍面临诸多挑战,如前哨淋巴结定位的敏感性不足、需要改进术中肿瘤边界定位成像、术后瘢痕愈合以及复发风险等,因此需要其他辅助措施来加以改善。为应对这些挑战,特异性优化的纳米药物已被引入乳腺癌的手术治疗领域。具体而言,本综述首先概述乳腺结构和肿瘤微环境的组成,然后介绍纳米药物设计的指导原则和基础。此外,我们将以乳腺癌手术诊疗的流程为出发点,适应性地提出纳米药物在解决相应问题中的作用和优势。此外,我们还探讨了利用先进技术方法的前景。总体而言,本综述旨在从临床角度揭示纳米药物的精密设计和策略,解决手术治疗中面临的挑战,并提供对该主题的见解。