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精准医学时代的胸外科肿瘤学进展

Advancing Thoracic Surgical Oncology in the Era of Precision Medicine.

作者信息

Argento Giacomo, Rendina Erino Angelo, Maurizi Giulio

机构信息

Department of Thoracic Surgery, University of Rome La Sapienza, Sant'Andrea Hospital, 00189 Rome, Italy.

出版信息

Cancers (Basel). 2025 Jan 2;17(1):115. doi: 10.3390/cancers17010115.

DOI:10.3390/cancers17010115
PMID:39796742
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11720116/
Abstract

The landscape of surgical oncology is rapidly evolving with the advent of precision medicine, driven by breakthroughs in genomics and proteomics. This article explores how integrating molecular data is transforming surgical decision-making and enabling personalized treatment strategies. We examine emerging technologies such as next-generation sequencing, proteomic analysis, and molecular imaging, which provide critical insights into tumor biology and guide surgical interventions. The article also highlights the application of genomic and proteomic data in preoperative planning and the development of personalized resection strategies. Additionally, we will address the current challenges and future opportunities in this rapidly evolving field, emphasizing the need for continuous education, interdisciplinary collaboration, and ongoing research to fully realize the potential of precision medicine in thoracic surgical oncology, paving the way for more effective and individualized cancer treatments.

摘要

随着精准医学的出现,外科肿瘤学领域正在迅速发展,这一发展由基因组学和蛋白质组学的突破所推动。本文探讨了整合分子数据如何改变手术决策并促成个性化治疗策略。我们研究了诸如新一代测序、蛋白质组分析和分子成像等新兴技术,这些技术为肿瘤生物学提供了关键见解并指导手术干预。本文还强调了基因组和蛋白质组数据在术前规划及个性化切除策略制定中的应用。此外,我们将探讨这一快速发展领域当前面临的挑战和未来机遇,强调持续教育、跨学科合作以及持续研究的必要性,以充分实现精准医学在胸外科肿瘤学中的潜力,为更有效和个性化的癌症治疗铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e4/11720116/ab760eab86a7/cancers-17-00115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e4/11720116/ab760eab86a7/cancers-17-00115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e4/11720116/ab760eab86a7/cancers-17-00115-g001.jpg

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本文引用的文献

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Single-cell transcriptomes identify patient-tailored therapies for selective co-inhibition of cancer clones.单细胞转录组鉴定出针对癌症克隆选择性共抑制的个体化治疗方法。
Nat Commun. 2024 Oct 3;15(1):8579. doi: 10.1038/s41467-024-52980-5.
2
Non-Small Cell Lung Cancer, Version 4.2024, NCCN Clinical Practice Guidelines in Oncology.非小细胞肺癌临床实践指南(第 4.2024 版),NCCN 肿瘤学临床实践指南
J Natl Compr Canc Netw. 2024 May;22(4):249-274. doi: 10.6004/jnccn.2204.0023.
3
Microsatellite Instability, Mismatch Repair, and Tumor Mutation Burden in Lung Cancer.
肺癌中的微卫星不稳定性、错配修复和肿瘤突变负担。
Surg Pathol Clin. 2024 Jun;17(2):295-305. doi: 10.1016/j.path.2023.11.011. Epub 2023 Dec 20.
4
Targeting the RAS/RAF/MAPK pathway for cancer therapy: from mechanism to clinical studies.靶向 RAS/RAF/MAPK 通路治疗癌症:从机制到临床研究。
Signal Transduct Target Ther. 2023 Dec 18;8(1):455. doi: 10.1038/s41392-023-01705-z.
5
The multifaceted roles of matrix metalloproteinases in lung cancer.基质金属蛋白酶在肺癌中的多方面作用。
Front Oncol. 2023 Sep 12;13:1195426. doi: 10.3389/fonc.2023.1195426. eCollection 2023.
6
Perioperative Nivolumab and Chemotherapy in Stage III Non-Small-Cell Lung Cancer.III 期非小细胞肺癌的围手术期纳武利尤单抗和化疗。
N Engl J Med. 2023 Aug 10;389(6):504-513. doi: 10.1056/NEJMoa2215530. Epub 2023 Jun 28.
7
Intratumoral Heterogeneity in Lung Cancer.肺癌中的肿瘤内异质性
Cancers (Basel). 2023 May 11;15(10):2709. doi: 10.3390/cancers15102709.
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E-cadherin expression in the tumor microenvironment of advanced epidermal growth factor receptor-mutant lung adenocarcinoma and the association with prognosis.晚期表皮生长因子受体突变型肺腺癌肿瘤微环境中 E-钙黏蛋白的表达及其与预后的关系。
BMC Cancer. 2023 Jun 20;23(1):569. doi: 10.1186/s12885-023-10980-6.
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A Systematic Review on Combined [F]FDG and Ga-SSA PET/CT in Pulmonary Carcinoid.[F]FDG与镓标记的生长抑素类似物(Ga-SSA)联合PET/CT用于肺类癌的系统评价
J Clin Med. 2023 May 28;12(11):3719. doi: 10.3390/jcm12113719.
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Tumour Biol. 2024;46(s1):S283-S295. doi: 10.3233/TUB-220044.