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革新胃癌治疗:免疫疗法的潜力

英文原题:Revolutionizing gastric cancer treatment: The potential of immunotherapy.

查看英文原题

Revolutionizing gastric cancer treatment: The potential of immunotherapy.

PubMed 2024/01/28(内容时间) World J Gastroenterol Q1 · IF 7.7(JCR 2025)

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中文摘要

胃癌是全球范围内常见的恶性肿瘤,发病率居第六位,死亡率居第三位,每年新增病例超过100万例,死亡病例达769000例。该病在东欧和东亚地区尤为高发,风险因素包括家族病史、饮食习惯、吸烟、幽门螺杆菌及EB病毒感染。遗憾的是,胃癌常在晚期才被诊断,导致预后极差,5年总生存率低于5%。手术干预,尤其是D2淋巴结清扫术,是早期病例的主要治疗手段,但成功率有限。对于晚期病例,美国国家综合癌症网络推荐化疗、放疗和靶向治疗。新兴的免疫治疗展现出前景,尤其对于不可切除或转移性病例,策略包括免疫检查点抑制剂、肿瘤疫苗、过继性免疫治疗和非特异性免疫调节剂。在本篇社论中,针对文章《胃癌免疫治疗的进展与关键焦点领域:一项全面的科学计量学和临床试验综述》,我们探讨了胃癌免疫治疗领域的进展及其未来前景。

展开英文摘要原文

Gastric cancer, a prevalent malignancy worldwide, ranks sixth in terms of frequency and third in fatality, causing over a million new cases and 769000 annual deaths. Predominant in Eastern Europe and Eastern Asia, risk factors include family medical history, dietary habits, tobacco use, Helicobacter pylori , and Epstein-Barr virus infections. Unfortunately, gastric cancer is often diagnosed at an advanced stage, leading to a grim prognosis, with a 5-year overall survival rate below 5%. Surgical intervention, particularly with D2 Lymphadenectomy, is the mainstay for early-stage cases but offers limited success.

For advanced cases, the National Comprehensive Cancer Network recommends chemotherapy, radiation, and targeted therapy. Emerging immunotherapy presents promise, especially for unresectable or metastatic cases, with strategies like immune checkpoint inhi-bitors, tumor vaccines, adoptive immunotherapy, and nonspecific immunomodulators.

In this Editorial, with regards to the article "Advances and key focus areas in gastric cancer immunotherapy: A comprehensive scientometric and clinical trial review", we address the advances in the field of immunotherapy in gastric cancer and its future prospects.

论文信息

作者
Christodoulidis G、Koumarelas KE、Kouliou MN
单位
Department of General Surgery, University Hospital of Larissa, Larissa 41110, Greece. gregsurg@yahoo.gr.Greece
文献类型
社论
期刊
World journal of gastroenterology2024 Jan 28
原文标识
PubMed 38313231 · DOI 10.3748/wjg.v30.i4.286