选择性多模式膀节约疗法用于肌肉侵入性膀癌:现在和未来
1Department of Urology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Bunkyo-ku, Tokyo, Japan.
Expert review of anticancer therapy
|September 27, 2023
概括
选择性膀节约疗法推用于肌肉侵入性膀癌,但未得到充分利用. 研究审查了其结果,生物标志物和免疫增强策略,以便更广泛地采用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
背景情况:
- 肌肉侵入性膀癌 (MIBC) 管理通常涉及激进囊切除术.
- 选择性膀节约疗法 (BST) 与三模式疗法是指导方针推的适合MIBC患者的护理标准.
- 尽管有建议,但BST在临床实践中似乎未得到充分利用.
研究的目的:
- 审查对MIBC选择性BST的研究.
- 为了比较BST与激进囊切除的瘤结果.
- 讨论预测生物标志物和针对BST的新型免疫增强策略.
主要方法:
- 对MIBC选择性BST的主要研究进行系统审查.
- 在BST和激进囊切除术之间对瘤结果的比较分析.
- 在PubMed的文献搜索 (截至2023年6月30日) 进行相关研究.
主要成果:
- 有证据表明,BST对于精选的MIBC患者来说是激进囊切除术的可行替代方案.
- 预测性生物标志物可以指导MIBC中的个性化治疗决策.
- 新的策略可以增强BST的抗瘤免疫反应.
结论:
- 增加BST的利用需要改善患者转诊和更广泛地进入专门中心.
- 放射治疗在转移性膀癌中的作用,包括免疫治疗的腹腔效应,可能会增加对BST的需求.
- 对生物标志物和免疫治疗组合的进一步研究对于优化BST至关重要.
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