从传统到前沿:骨肉瘤治疗的探索。

IF 2.8 4区 医学 Q2 ONCOLOGY
Garen S Sellers, McKade A Poirier, Trenton G Mayberry, Braydon C Cowan, Mark R Wakefield, Yujiang Fang
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引用次数: 0

摘要

骨肉瘤是一种高度侵袭性的癌症,发生在儿童和年轻人身上,在转移时有很高的死亡率。近50年来,目前的标准治疗方法基本保持不变,主要是化疗联合大剂量甲氨蝶呤、阿霉素和顺铂,辅以积极的手术切除。尽管缺乏这种改变,最近医学研究的进步激发了人们对更有效、侵入性更小的骨肉瘤治疗方法的希望。在这篇综述中,我们概述了现有的治疗方式,包括针对肿瘤分期和患者反应量身定制的化疗方案,针对局部肿瘤控制的放射治疗,以及先进的外科技术,如肢体保留手术。此外,我们探索了目前正在研究的两种有前景的骨肉瘤病例治疗方法:利用纳米材料(如氧化石墨烯)和创新溶瘤病毒的靶向治疗。本综述强调了治疗方案的潜在突破,同时确定了在骨肉瘤治疗方面需要进一步研究的领域。考虑到过去几十年来治疗进展有限,确定和强调新颖有效的治疗方法对于改善患者预后和生存率至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From conventional to cutting edge: an exploration of osteosarcoma treatments.

Osteosarcoma is a highly aggressive cancer in children and young adults that has a remarkably high mortality rate upon metastasis. Current standard treatments have remained largely unchanged for nearly five decades, focusing on a combination of chemotherapy with high-dose methotrexate, doxorubicin, and cisplatin, complemented by aggressive surgical resections. Despite this lack of change, recent advancements in medical research have spurred hope for more effective and less invasive approaches to managing osteosarcoma. In this review, we provide an overview of existing therapeutic modalities, including chemotherapy regimens tailored to tumor stage and patient response, radiation therapies aimed at local tumor control, and advanced surgical techniques such as limb-sparing procedures. Additionally, we explore two promising future treatments that are currently under investigation for osteosarcoma cases: targeted therapies utilizing nanomaterials like graphene oxide and innovative oncolytic viruses. This review highlights potential breakthroughs in treatment options while identifying areas that warrant further investigation in the management of osteosarcoma. Considering the limited advancements in treatment over the past decades, identifying and highlighting novel and effective therapies is vital for improving patient outcomes and survival rates.

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来源期刊
Medical Oncology
Medical Oncology 医学-肿瘤学
CiteScore
4.20
自引率
2.90%
发文量
259
审稿时长
1.4 months
期刊介绍: Medical Oncology (MO) communicates the results of clinical and experimental research in oncology and hematology, particularly experimental therapeutics within the fields of immunotherapy and chemotherapy. It also provides state-of-the-art reviews on clinical and experimental therapies. Topics covered include immunobiology, pathogenesis, and treatment of malignant tumors.
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