结直肠癌肝转移的病因发展、诊断和临床治疗方法(综述)。

IF 4.9 3区 医学 Q1 ONCOLOGY
International journal of oncology Pub Date : 2025-03-01 Epub Date: 2025-02-14 DOI:10.3892/ijo.2025.5728
Zhenhua Jin, Yin Li, Hao Yi, Menghui Wang, Chaofeng Wang, Shaokun Du, Wenjuan Zeng, Zhen Zong
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引用次数: 0

摘要

结直肠癌(CRC)是一种普遍存在的恶性肿瘤,相当比例的CRC患者发生肝转移(CRLM),这是CRC相关死亡率的主要原因。本文就CRLM的发病、发展、诊断及临床治疗方法进行综述。讨论了CRLM的分子机制,包括肿瘤微环境和上皮-间质转化的作用。本综述还强调了早期发现的重要性以及预测CRLM发展的当前挑战。综述了各种治疗策略,包括手术切除、化疗和免疫治疗,以及新疗法的潜力,如选择性内放射治疗和中药。尽管最近在治疗选择方面取得了进展,但由于肝脏微环境的复杂性和CRC的异质性,CRLM的治疗仍然是一个治疗挑战。本综述强调需要多学科的方法和新兴疗法的整合,以改善患者的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pathogenetic development, diagnosis and clinical therapeutic approaches for liver metastasis from colorectal cancer (Review).

Pathogenetic development, diagnosis and clinical therapeutic approaches for liver metastasis from colorectal cancer (Review).

Pathogenetic development, diagnosis and clinical therapeutic approaches for liver metastasis from colorectal cancer (Review).

Pathogenetic development, diagnosis and clinical therapeutic approaches for liver metastasis from colorectal cancer (Review).

Colorectal cancer (CRC) is a prevalent malignancy and a significant proportion of patients with CRC develop liver metastasis (CRLM), which is a major contributor to CRC‑related mortality. The present review aimed to comprehensively examine the pathogenetic development and diagnosis of CRLM and the clinical therapeutic approaches for treatment of this disease. The molecular mechanisms underlying CRLM were discussed, including the role of the tumour microenvironment and epithelial‑mesenchymal transition. The present review also highlighted the importance of early detection and the current challenges in predicting the development of CRLM. Various treatment strategies were reviewed, including surgical resection, chemotherapy and immunotherapy, and the potential of novel therapies, such as selective internal radiation therapy and Traditional Chinese Medicine. Despite recent advancements in treatment options, the treatment of CRLM remains a therapeutic challenge due to the complexity of the liver microenvironment and the heterogeneity of CRC. The present review emphasized the need for a multidisciplinary approach and the integration of emerging therapies to improve patient outcomes.

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来源期刊
CiteScore
9.60
自引率
0.00%
发文量
157
审稿时长
2.1 months
期刊介绍: The main aim of Spandidos Publications is to facilitate scientific communication in a clear, concise and objective manner, while striving to provide prompt publication of original works of high quality. The journals largely concentrate on molecular and experimental medicine, oncology, clinical and experimental cancer treatment and biomedical research. All journals published by Spandidos Publications Ltd. maintain the highest standards of quality, and the members of their Editorial Boards are world-renowned scientists.
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