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释放液体活检的潜力:子宫内膜癌护理的范式转变。

Unlocking the Potential of Liquid Biopsy: A Paradigm Shift in Endometrial Cancer Care.

作者信息

Gui Nannan, Cheewakriangkrai Chalong, Chaiyawat Parunya, Udomruk Sasimol

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.

Department of Obstetrics and Gynecology, Faculty of Medicine, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, China.

出版信息

Diagnostics (Basel). 2025 Jul 30;15(15):1916. doi: 10.3390/diagnostics15151916.

DOI:10.3390/diagnostics15151916
PMID:40804879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12346894/
Abstract

Endometrial cancer is one of the most prevalent gynecologic malignancies in developed countries, with its incidence steadily increasing each year. Early diagnosis is crucial for a favorable prognosis; however, certain patients experience recurrence and distant metastasis after surgery, similar to advanced cancer patients, with limited treatment options. Therefore, effective strategies for early screening, diagnosis, predicting local recurrence, and guiding rapid treatment interventions are essential for improving survival rates and prognosis. Liquid biopsy, a method known for being non-invasive, safe, and effective, has attracted widespread attention for cancer diagnosis and treatment. Although its clinical application in endometrial cancer is less established than in other cancers, research on biomarkers using liquid biopsy in endometrial cancer patients is currently in progress. This review examines the latest advancements in non-invasive biomarkers identified through liquid biopsy and provides a comprehensive overview of their clinical applications in endometrial cancer. Additionally, it discusses the challenges and future prospects of liquid biopsy, offering valuable insights into the diagnosis and personalized treatment of endometrial cancer.

摘要

子宫内膜癌是发达国家最常见的妇科恶性肿瘤之一,其发病率逐年稳步上升。早期诊断对于良好的预后至关重要;然而,某些患者术后会出现复发和远处转移,类似于晚期癌症患者,治疗选择有限。因此,有效的早期筛查、诊断、预测局部复发和指导快速治疗干预策略对于提高生存率和改善预后至关重要。液体活检是一种以无创、安全和有效著称的方法,在癌症诊断和治疗方面引起了广泛关注。尽管其在子宫内膜癌中的临床应用不如在其他癌症中成熟,但目前正在对子宫内膜癌患者进行使用液体活检的生物标志物研究。本综述探讨了通过液体活检鉴定出的非侵入性生物标志物的最新进展,并全面概述了它们在子宫内膜癌中的临床应用。此外,还讨论了液体活检的挑战和未来前景,为子宫内膜癌的诊断和个性化治疗提供了有价值的见解。

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本文引用的文献

1
Integrating artificial intelligence with circulating tumor DNA for non-small cell lung cancer: opportunities, challenges, and future directions.将人工智能与循环肿瘤DNA整合用于非小细胞肺癌:机遇、挑战与未来方向。
Front Med (Lausanne). 2025 Jun 11;12:1612376. doi: 10.3389/fmed.2025.1612376. eCollection 2025.
2
A phenotype-independent "label-capture-release" process for isolating viable circulating tumor cells in real-time drug susceptibility testing.一种用于实时药敏试验中分离活循环肿瘤细胞的与表型无关的“标记捕获-释放”过程。
Innovation (Camb). 2025 Jan 16;6(5):100805. doi: 10.1016/j.xinn.2025.100805. eCollection 2025 May 5.
3
Modernizing Neuro-Oncology: The Impact of Imaging, Liquid Biopsies, and AI on Diagnosis and Treatment.神经肿瘤学的现代化:影像学、液体活检和人工智能对诊断与治疗的影响
Int J Mol Sci. 2025 Jan 22;26(3):917. doi: 10.3390/ijms26030917.
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Artificial intelligence and machine learning in cell-free-DNA-based diagnostics.基于游离DNA的诊断中的人工智能和机器学习
Genome Res. 2025 Jan 22;35(1):1-19. doi: 10.1101/gr.278413.123.
5
Cervicovaginal lavages uncover growth factors as key biomarkers for early diagnosis and prognosis of endometrial cancer.宫颈阴道灌洗术揭示了生长因子作为子宫内膜癌早期诊断和预后的关键生物标志物。
Mol Biomed. 2024 Nov 8;5(1):55. doi: 10.1186/s43556-024-00219-6.
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Genomic Landscape of ctDNA and Real-World Outcomes in Advanced Endometrial Cancer.晚期子宫内膜癌中循环肿瘤DNA的基因组格局及真实世界结局
Clin Cancer Res. 2024 Dec 16;30(24):5657-5665. doi: 10.1158/1078-0432.CCR-24-2105.
7
Combination of circulating tumor cells, lncRNAs and DNA methylation for the diagnosis of endometrial carcinoma.循环肿瘤细胞、长链非编码RNA和DNA甲基化联合用于子宫内膜癌的诊断
Oncol Lett. 2024 Sep 11;28(5):545. doi: 10.3892/ol.2024.14678. eCollection 2024 Nov.
8
Role of cfDNA and ctDNA to improve the risk stratification and the disease follow-up in patients with endometrial cancer: towards the clinical application.cfDNA 和 ctDNA 在提高子宫内膜癌患者风险分层和疾病随访中的作用:迈向临床应用。
J Exp Clin Cancer Res. 2024 Sep 20;43(1):264. doi: 10.1186/s13046-024-03158-w.
9
DNA methylation detection is a significant biomarker for screening endometrial cancer in premenopausal women with abnormal uterine bleeding.DNA 甲基化检测是筛查绝经前异常子宫出血妇女子宫内膜癌的重要生物标志物。
Int J Gynecol Cancer. 2024 Aug 5;34(8):1165-1171. doi: 10.1136/ijgc-2024-005723.
10
Selective utilization of circulating tumor DNA testing enables disease monitoring in endometrial and ovarian carcinomas.循环肿瘤DNA检测的选择性应用有助于子宫内膜癌和卵巢癌的疾病监测。
J Gynecol Oncol. 2025 Jan;36(1):e5. doi: 10.3802/jgo.2025.36.e5. Epub 2024 Jun 17.