不知原发部位的癌症
Nicholas Pavlidis1, George Pentheroudakis
1Department of Medical Oncology, School of Medicine, University of Ioannina, Ioannina, Greece. npavlid@uoi.gr
Lancet (London, England)
|March 15, 2012
概括
未知主部位的癌症 (CUP) 是一种侵略性的癌症. 确定主要部位有助于治疗,对有利和不利的预后子集有明显的结果.
科学领域:
- 在瘤学瘤学.
- 癌症研究 癌症研究
背景情况:
- 未知主要部位 (CUP) 的癌症占上皮癌的3-5%.
- CUP的特点是侵略性行为和早期转移.
研究的目的:
- 审查CUP的诊断方法.
- 讨论不同CUP预后子集的治疗策略和结果.
主要方法:
- 对组织病理学检查,免疫组织化学和放射学评估的审查.
- 基因分析微阵列诊断的讨论.
- 基于预后子集的治疗反应和生存率的分析.
主要成果:
- 转移性腺癌是最常见的CUP亚型 (80%).
- 存在有利的 (20%) 和不利的 (80%) 预后子集.
- 用局部或基化疗治疗的有利子集显示出与已知的初级疗法相似的结果.
- 用经验化疗治疗的不利子集的反应和存活率很差.
结论:
- 准确的诊断和子设置对于CUP管理至关重要.
- 针对有利子集的向治疗改善了结果.
- 需要进一步的研究来优化对不利的CUP子集的治疗.
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