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液体活检在头颈部肿瘤中的作用:精准医学时代的范式转变

Liquid Biopsy's Role in Head and Neck Tumors: Changing Paradigms in the Era of Precision Medicine.

作者信息

Zalzal Rudy N, Fakhruddin Najla, Mahfouz Rami

机构信息

Faculty of Medicine, American University of Beirut, Beirut 1107 2020, Lebanon.

Department of Pathology and Laboratory Medicine, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon.

出版信息

Diagnostics (Basel). 2025 Sep 7;15(17):2262. doi: 10.3390/diagnostics15172262.

Abstract

In the era of precision medicine, liquid biopsy has become an indispensable tool in research and clinical diagnostics. This innovative molecular approach offers significant benefits in managing cancers, such as melanoma, colorectal cancer, lung cancer, and, now, head and neck tumors. By addressing the challenges posed by tumor heterogeneity, liquid biopsy aligns seamlessly with precision medicine strategies, providing more accessible methods to detect and monitor genetic alterations in tumors. While biomarkers for head and neck tumors have been identified, integrating these markers into diagnostic workflows remains a challenge due to the complexities of current sampling techniques. Could liquid biopsy pave the way for a breakthrough in the diagnosis, monitoring, and treatment of patients with head and neck cancer? This review explores the expanding role of liquid biopsy in oncology, with a focus on its potential to revolutionize the management of head and neck malignancies. Liquid biopsy has become an integral part of diagnosis, classification, and prognostication of numerous cancers, namely, head and neck tumors. Liquid biopsy should work in concert with histological testing, imaging, surgery, and other diagnostic and therapeutic approaches, as each offers distinct advantages that together contribute to achieving the best possible patient outcomes.

摘要

在精准医学时代,液体活检已成为研究和临床诊断中不可或缺的工具。这种创新的分子方法在癌症管理方面具有显著优势,如黑色素瘤、结直肠癌、肺癌,以及现在的头颈部肿瘤。通过应对肿瘤异质性带来的挑战,液体活检与精准医学策略无缝契合,提供了更便捷的方法来检测和监测肿瘤中的基因改变。虽然头颈部肿瘤的生物标志物已被确定,但由于当前采样技术的复杂性,将这些标志物整合到诊断流程中仍然是一项挑战。液体活检能否为头颈部癌症患者的诊断、监测和治疗带来突破?本综述探讨了液体活检在肿瘤学中不断扩大的作用,重点关注其革新头颈部恶性肿瘤管理的潜力。液体活检已成为众多癌症(即头颈部肿瘤)诊断、分类和预后评估的重要组成部分。液体活检应与组织学检测、影像学、手术及其他诊断和治疗方法协同工作,因为每种方法都有独特优势,共同助力实现最佳的患者治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/972a/12428747/ccb5db14d5b5/diagnostics-15-02262-g001.jpg

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