头部和部皮肤状细胞癌的转移模式和治疗选择 (综述)
Doriana Iancu1,2, Ana Fulga1,2, Doina Vesa1,2
1Department of Otorhinolaryngology, 'Sfantul Andrei' Emergency Clinical Hospital of Galati, 800578 Galati, Romania.
Molecular and clinical oncology
|May 17, 2024
概括
高危的头部和部皮肤状细胞癌 (HNcSCC) 经常转移到淋巴结. 免疫疗法是关键的治疗方法,但将其与放射疗法结合可能会改善转移性HNcSCC的结果.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 癌症研究 癌症研究
背景情况:
- 皮肤状细胞癌 (cSCC) 是一种常见的皮肤癌,高风险的头状细胞癌 (HNcSCC) 带来了重大挑战.
- 转移,主要发生在局部淋巴结中,发生在约2.5%的cSCC患者中,其模式可能因瘤部位而异.
研究的目的:
- 审查目前关于转移性HNcSCC途径和治疗策略的文献.
- 确定目前和未来的转移性HNcSCC,特别是淋巴结转移的管理方向.
- 强调迫切需要识别那些将受益于特定局部或全身治疗的患者.
主要方法:
- 对HNcSCC转移现有研究的系统文献综述.
- 对临床和瘤特征的分析与cSCC分期不良结果相关.
- 评估当前和新兴的治疗选择,包括免疫治疗和放射治疗.
主要成果:
- 建议在转移性HNcSCC时进行免疫疗法 (例如,塞米普利马布,潘布罗利祖马布,尼沃卢马布).
- 与放射疗法和免疫疗法结合治疗可能会提高治疗疗效.
- 在HNcSCC中淋巴结转移是一个复杂的治疗挑战,需要全面的管理.
结论:
- 转移性HNcSCC需要量身定制的治疗策略,重点是免疫治疗.
- 放射治疗和免疫治疗的组合显示出改善结果的希望.
- 需要进一步的研究来优化治疗,并确定受益于特定干预措施的患者子组.
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