新辅助免疫疗法在局部晚期口腔状细胞癌中的新兴作用:进展和挑战
Tong-Chao Zhao1, Yi-Bin Dai, Zhi-Hang Zhou
1Department of Oromaxillofacial Head and Neck Surgery, Center for Oromaxillofacial Head and Neck Disorders, Huashan Hospital, Fudan University, Shanghai, China.
International journal of surgery (London, England)
|January 14, 2026
概括
针对局部晚期口腔状细胞癌 (LAOSCC) 的新辅助疗法显示出有希望的结果,但需要进一步评估. 本综述探讨了化疗,化疗放射治疗,向治疗和免疫治疗,以提高LAOSCC患者的生存率.
科学领域:
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
- 免疫治疗是一种免疫疗法.
背景情况:
- 局部发达的口腔状细胞癌 (LAOSCC) 提出了重大管理挑战.
- 目前的标准治疗方法 (手术+辅助放射治疗/化学放射治疗) 导致5年生存率低于最佳 (~50%).
- 新辅助疗法在LAOSCC中的作用尚未完全确定,尽管有潜在的好处,如减少瘤负担.
研究的目的:
- 审查LAOSCC目前的新辅助治疗策略.
- 在LAOSCC中评估新辅助免疫疗法 (NAIT) 的疗效和安全性.
- 检查各种新辅助方法对临床实践的影响.
主要方法:
- 对LAOSCC的新辅助疗法现有证据的系统审查.
- 对化疗,化疗或放射治疗,向治疗和免疫治疗方案的分析.
- 对NAIT在头癌中的临床试验数据和文献的评估.
主要成果:
- 新辅助疗法旨在改善手术结果并减少LAOSCC中的转移.
- 免疫检查点抑制剂在复发性/转移性头癌中表现有前途,为LAOSCC带来了对NAIT的兴趣.
- 对于LAOSCC中NAIT的有效性和安全性数据仍然有限,需要进一步调查.
结论:
- 包括免疫疗法在内的新辅助策略正在探索,以增强LAOSCC治疗.
- 进一步系统地评估NAIT在LAOSCC中的有效性和安全性是至关重要的.
- 本综述综合了当前的知识,以指导LAOSCC新辅助疗法的未来临床实践和研究.
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