期刊文献+

精准医疗快速发展时期结直肠癌治疗沉淀与突破 被引量:7

The reflection and breakthrough of colorectal cancer treatment in the rapid developing era of precision medicine
原文传递
导出
摘要 目前,结直肠癌的多学科综合治疗理念被越来越多的人接受。同时,分子分型指导下的个体化治疗也日趋成熟。结直肠癌是高度异质性肿瘤,其发病由一系列遗传事件和表观遗传学事件所造成。随着大数据以及精准医疗时代的到来,结直肠癌分子分型,包括左、右半结肠以及分子生物标志物的分型越来越重要。如何识别结直肠癌的异质性和个体间差异、如何更好地进行精准治疗,将成为未来结直肠癌治疗的焦点。 The multidisciplinary approach to colorectal cancer has been well accepted,recently. Meanwhile,individualized drug therapy has been developed by the guidance of molecular subtyping. Colorectal cancer is a heterogeneous disease that develops as a consequence of both genetic and epigenetic events. In the new era of big data and precision medicine,the molecular subtype of colorectal cancer is becoming more and more important,including differentiation of molecular biomarkers and locations of cancer. The future direction of colorectal cancer treatment should focus on dissecting tumor heterogeneity,distinguishing individual biological behavior,and practicing precision medicine.
作者 沈琳
出处 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2016年第3期261-263,268,共4页 Journal of Nanjing Medical University(Natural Sciences)
关键词 结直肠癌 多学科综合治疗 分子分型 精准医疗 colorectal cancer multi-disciplinary treatment molecular subtype precision medicine
  • 相关文献

参考文献10

  • 1Chen W,Zheng R,Baade PD,et al. Cancer statistics in China,2015[J]. CA Cancer J Clin, 2016,66(2) : 115-132.
  • 2Cremolini C, Loupakis F,Antoniotti C,et al. FOLFOXIRI plus bevacizumab versus FOLFIRI plus bevacizumab as first-line treatment of patients with metastatic colorectal cancer:updated overall survival and molecular subgroup analyses of the open-label,phase 3 TRIBE study [J]. Lancet Oncol,2015,16(13) : 1306-1315.
  • 3Deng YH, Chi P, Lan P,et al. A multi-center randomized controlled trial of mFOLFOX6 with or without radiation in neoadjuvant treatment of local advanced rectal cancer (FOWARC study):Preliminary results [J]. J Clin Oncol, 2015,33(15S) : a3500.
  • 4Heinemann V,Von Weikersthal LF,Decker T,et al. FOLFIRI plus cetuximab versus FOLFIRI plus beva- cizumab as first-line treatment for patients with metastatic colorectal cancer (FIRE-3) :a randomised,open-label, phase 3 trial[J]. Lancet Oncol, 2014,15 (10) : 1065-1075.
  • 5Venook AP,Niedzwiecki D,Lenz H,et al. CALGB/SWOG 80405:phase Ⅲ trial of irinotecart/5-FU/leucovorin (FOLFIRI)or oxaliplatin/5-FU/qeucovorin (mFOLFOX6) with bevacizumab (RV)or cetuximab(CET)for patients (pts)with KRAS wild-type(wt)untreated metastatic ade- nocarcinoma of the colon or rectum (MCRC) [J]. J Clin Oncol, 2014,32 (15S) : aLBA3.
  • 6Guinney J,Dienstmann R,Wang X,et al. The consensus molecular subtypes of colorectal cancer[J]. Nat Med, 2015,21(11) : 1350-1356.
  • 7Atreya CE, Cutsem EV, Bendell JC et al. Updated effica- cy of the MEK inhibitor trametinib(T),BRAF inhibitor dabrafenib (D),and anti-EGFR antibody panitumumab (P)in patients(pts)with BRAF V600E mutated(BRAFm) metastatic colorectal cancer (mCRC) [J]. J Clin Oncol,2015,33(15s):a103.
  • 8Long GV, Stroyakovskiy D, Gogas H,et al. Overall sur- vival in COMBI-d,a randomized,double-blinded, phase Ⅲ study comparing the combination of dabrafenib and trametinib with dabrafenib and placebo as first-line ther- apy in patients(pts)with unresectable or metastatic BRAF V600E/K mutation-positive cutaneous melanoma[Jl. J Clin Oncol,2015,33(15s) :a102.
  • 9Fatrai S, Van Schelven SJ, Ubink I ,et al. Maintenance of clonogenic KIT (+)human colon tumor cells requires secretion of stem cell factor by differentiated tumor cells [ J ]. Gastroenterology, 2015,149 (3) : 692-704.
  • 10Le DT,Uram JN,Wang H,et al. PD-1 blockade in tumors with mismatch-repair deficiency[J]. N Engl J Med, 2015,372(26) :2509-2520.

同被引文献88

引证文献7

二级引证文献29

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部