封装瘤集群的血管在肝细胞癌中的血管模式
Ken Liu1,2,3, Claude Dennis1, David S Prince4
1Australian National Liver Transplant Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
JHEP reports : innovation in hepatology
|July 17, 2023
概括
封装瘤集群的血管 (VETC) 是攻击性肝癌 (HCC) 的生物标志物. 这种模式可以预测疾病复发和存活率,指导治疗决策以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 血管生物学 血管生物学
- 肝细胞癌研究 肝细胞癌研究
背景情况:
- 封装瘤集群的血管 (VETC) 代表了与新型转移机制相关的独特组织血管模式.
- 在2004年首次在人类癌症中被发现,VETC在肝细胞癌 (HCC) 中的作用在过去十年中得到了显著的关注.
- VETC被认为是侵袭性疾病的生物标志物,通过对瘤组织的组织学检查来诊断.
研究的目的:
- 审查肝细胞癌 (HCC) 中VETC的患病率和预后意义.
- 探索VETC作为HCC的诊断和预测生物标志物的潜力.
- 讨论VETC对HCC治疗策略和精准医学的影响.
主要方法:
- 组织学检查瘤组织用于VETC诊断.
- 对VETC患病率和HCC的预后意义的现有文献的分析.
- 对VETC模式的放射性识别进步的审查.
- 评估VETC对治疗反应的预测价值 (例如,跨动脉化学栓塞,索拉芬尼布).
主要成果:
- 在接受切除或移植的HCC患者中,VETC始终被确定为疾病复发和整体存活率的独立预测因子.
- VETC可以预测患者对跨动脉化学栓塞和索拉芬尼布等疗法的反应.
- 射线识别VETC是一个活跃的研究领域,准确度越来越高.
结论:
- 在HCC中,VETC是一种强大的预后标志物,表明疾病具有侵略性.
- 虽然VETC可以指导治疗,但最终的建议需要前性试验.
- 鉴于其与瘤血管新生和免疫微环境的联系,VETC具有重要的潜力,作为未来的生物标志物,用于推进HCC的精密医学.
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