结肠直肠癌的预后和预测决定因素:综合性审查
Horia T Cotan1, Radu A Emilescu1, Cristian I Iaciu1
1General Medicine Faculty, Carol Davila University of Medicine and Pharmacy, 8 Sanitary Heroes Boulevard, 050474 Bucharest, Romania.
Cancers
|December 17, 2024
概括
本综述评估了结直肠癌 (CRC) 的预后和预测因素,包括传统和新型生物标志物. 了解这些决定因素是个性化治疗和改善CRC患者治疗结果的关键.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 遗传学 是一个遗传学.
背景情况:
- 结肠直肠癌 (CRC) 是一个重大的全球健康挑战.
- 有效的管理需要了解预后和预测因素.
- 个性化医疗方法对于改善患者结果至关重要.
研究的目的:
- 系统地审查结直肠癌 (CRC) 的预后和预测决定因素.
- 评估CRC的既定和新兴生物标志物.
- 为个人化治疗策略提供信息,并提高患者的治疗结果.
主要方法:
- 主要电子数据库 (1995-2024) 的系统文献搜索.
- 对符合条件的研究进行批判性评估和数据提取.
- 对临床病理特征,分子生物标记物和新型标记物的分析.
主要成果:
- 确定的预后因素包括瘤阶段,等级,淋巴结状况,RAS,BRAF和MSI状态.
- 评估的预测因素包括治疗反应的HER2和免疫评分.
- 探索瘤微环境和液体活检等新兴标记物.
结论:
- 预后和预测因素显著影响结直肠癌患者的治疗结果.
- 多种生物标志物的整合为量身定制的疗法提供了潜力.
- 对新型决定因素的进一步研究可以推进个性化CRC管理.
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