和膀癌的新辅助系统疗法:当前证据和新兴范式
Rana R McKay1, Asha Tipirneni2, Rick Bangs3
1Moores Cancer Center, University of California San Diego, La Jolla, CA.
概括
新辅助疗法对膀癌和细胞癌具有前景,病理完整反应 (pCR) 是关键结果. 人工智能可以提高生殖尿路癌症的诊断和治疗预测.
科学领域:
- 生殖尿道瘤学
- 新辅助性全身治疗新辅助性全身治疗.
- 病理反应评估 病理反应评估
背景情况:
- 新辅助疗法改善了高风险局部性尿道恶性瘤的结果.
- 基于西斯普拉丁的化疗是膀癌的标准;对细胞癌的新辅助治疗正在研究中.
- 病理完整反应 (pCR) 是在膀癌中生存的经过验证的替代品.
研究的目的:
- 检查细胞癌 (RCC) 和膀癌中的新辅助疗法和病理反应.
- 探索病理生物标志物开发,包括人工智能应用.
- 突出未来优化治疗序列和结果的方向.
主要方法:
- 对膀癌和RCC的新辅助全身治疗策略的审查.
- 评估病理反应评估和生物标志物的发展.
- 探索新兴技术,如人工智能驱动的数字病理学.
主要成果:
- 有或没有免疫治疗的新辅助化疗是膀癌的标准,pCR作为替代品.
- 免疫检查点抑制剂组合在RCC中表现有前途,诱导病理反应.
- 在标准化标准,代孕和PCR后最佳管理方面仍然存在差距.
结论:
- 新辅助疗法在生殖尿道癌症中正在发展,pCR作为关键终点.
- 人工智能驱动的数字病理学为改善诊断和治疗预测提供了潜力.
- 需要进一步的研究来优化新辅助剂策略和整合新型药物.
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