超时转移和同时转移的不同克隆起源
Ofer N Gofrit1, Ben Gofrit2, Yuval Roditi2
1Department of Urology, Faculty of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, P.O.B 12000, 91120, Jerusalem, Israel. ogofrit@gmail.com.
Journal of cancer research and clinical oncology
|June 20, 2023
概括
同步转移和超时转移在患者人口统计和克隆起源方面有所不同,这表明不同的生物过程. 这一发现可能会为量身定制的癌症治疗策略提供信息.
科学领域:
- 在瘤学瘤学.
- 癌症转移研究 癌症转移研究
- 放射学 放射学是一门学科.
背景情况:
- 转移是癌症死亡的主要原因.
- 转移性进展的两个模型:线性和并行.
- 转移可能是同步的 (与原发性瘤一起检测到) 或超时的 (在初始治疗后检测到).
研究的目的:
- 调查同步转移 (SM) 和超时转移 (MM) 是否在生物学上不同,而不仅仅是通过检测时间.
- 为了比较SM和MM的人口和克隆起源特征.
主要方法:
- 从791名患有11种恶性瘤类型的患者 (2010-2020) 的胸部CT扫描进行了回顾性分析.
- 测量直径为15427个肺转移.
- 从转移直径计算的线性/平行比 (LPR) 来推断克隆起源.
主要成果:
- 患有MM的患者比患有SM的患者更年长,更频繁地是男性.
- 在从转移诊断开始测量时,SM和MM组的整体存活率相似.
- 并行传播 (LPR ≤0) 在MM (35.4%) 比在SM (19.8%) 显著更常见.
结论:
- 同步转移和超时转移表现出不同的人口特征和克隆传播模式.
- 这些差异表明SM和MM之间存在潜在的生物变异.
- 治疗策略可能需要根据转移是否是同步或超时转移而个性化.
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