J Clin Oncol:局部前列腺癌的分子生物标记:ASCO指南

2020-01-05 AlexYang MedSci原创

最近,有研究人员提供了一个基于前列腺癌可利用生物标记的推荐指南,旨在改变积极监测患者的选择、临床显著疾病的鉴定、前列腺切除术后辅助治疗与挽救性放疗的选择、以及解决一些新出现的问题,比如组织生物标志物与核磁共振成像的相对值情况。研究人员共鉴定了555个相关的研究,选择了其中的77个加上专家小组选择的32个额外的参考。研究发现,很少的生物标记在多个群体中具有有效的测试结果,并且这些测试中只有5个目前已

最近,有研究人员提供了一个基于前列腺癌可利用生物标记的推荐指南,旨在改变积极监测患者的选择、临床显著疾病的鉴定、前列腺切除术后辅助治疗与挽救性放疗的选择、以及解决一些新出现的问题,比如组织生物标志物与核磁共振成像的相对值情况。

研究人员共鉴定了555个相关的研究,选择了其中的77个加上专家小组选择的32个额外的参考。研究发现,很少的生物标记在多个群体中具有有效的测试结果,并且这些测试中只有5个目前已经商业化:Oncotype Dx Prostate、Prolaris、Decipher、Decipher PORTOS,和ProMark。尽管生物标记具有不同程度价值和鉴定情况,多重生物标记能够改善风险分层,并且可以考虑为选择的男性改善治疗决定。目前,当这些标记整合到临床决定中时,仍旧缺乏前瞻性的研究来评估患者短期和长期的结果。

最后,研究人员建议,基于组织的分子生物标记加入到标准临床参数中可能能够改善风险分层,但是专家组只在这些标记与常规临床因素作为一个整体考虑且可能影响临床决定时才会认可使用。另外,这些试验并不推荐进行常规使用,因为还未进行前瞻性测试或者能够改善长期结果、生活质量、治疗需要或者生存。

原始出处:

Eggener SE, Rumble RB, Armstrong AJ et al. Molecular Biomarkers in Localized Prostate Cancer: ASCO Guideline. J Clin Oncol. 12 Dec 2019

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    2020-12-05 quxin068
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    2020-01-07 chg122
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    2020-01-05 anti-cancer

    谢谢梅斯分享这么多精彩信息

    0

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    2020-01-05 misszhang

    前列腺癌相关研究,学习了,谢谢梅斯

    0

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