儿童急性淋巴细胞白血病的治疗:一个历史的视角
Hiroshi Hayashi1, Atsushi Makimoto1,2, Yuki Yuza1
1Department of Hematology/Oncology, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu 183-8561, Tokyo, Japan.
Cancers
|February 24, 2024
概括
儿童急性淋巴细胞白血病 (ALL) 治疗已经显著发展,改善了生存率. 提出了一个可行的骨干治疗模式,使低收入和中等收入国家受益.
科学领域:
- 儿科瘤学 儿科瘤学
- 血液学 血液学 血液学
- 临床治疗学 临床治疗学
背景情况:
- 急性淋巴细胞白血病 (ALL) 是最常见的儿科癌症.
- 历史上的治疗方法在20世纪90年代从不可靠的干预演变为多剂化学疗法.
- 分子诊断技术的进步使得风险适应性疗法成为可能,显著提高了生存率.
研究的目的:
- 在全球范围内审查儿童ALL发育疗法的历史.
- 提出一个可行的治疗脊柱模型,用于儿科ALL.
- 为了使低收入和中等收入国家 (LMICs) 受益,并为未来的临床试验提供信息.
主要方法:
- 关于儿童ALL发育疗法的广泛文献综述.
- 对历史治疗策略和结果的分析.
- 评估当前的先进疗法及其可获得性.
主要成果:
- 儿童ALL治疗在高收入国家从高死亡率发展到高生存率.
- 分子向药物和免疫疗法正在改善高风险ALL的治疗结果.
- 先进治疗的财务负担限制了LMICs的访问.
结论:
- 皮质类固醇和古典细胞毒性疗法的基本治疗对LMICs仍然有效和可行.
- 一个拟议的治疗骨干模型旨在在全球范围内标准化和改善护理.
- 需要进一步的研究和临床试验来完善所有人群的治疗策略.
相关概念视频
Bone Marrow Sampling and Transplants
330
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
330
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Targeted Cancer Therapies
7.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.6K
Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K


