帕博利珠单抗联合二甲双胍治疗转移性头颈部癌的 II 期可行性研究
A Phase II Feasibility Study Combining Pembrolizumab and Metformin in Patients with Metastatic Head and Neck Cancer.
二甲双胍联合帕博利珠单抗耐受性良好,仅出现轻度胃肠道不良事件,并展现出有前景的活性,值得在随机试验中进一步研究。
英文原题:Comprehensive insights into oral squamous cell carcinoma: Diagnosis, pathogenesis, and therapeutic advances.
口腔鳞状细胞癌(OSCC)被认为是头颈部鳞状细胞癌(HNSCC)中最常见的类型,占HNSCC病例的90%,可发生于口腔内多个部位。
口腔鳞状细胞癌(OSCC)被认为是头颈部鳞状细胞癌(HNSCC)中最常见的类型,因为它在源自口腔内多个部位的HNSCC病例中占90%。过去三十年,OSCC这种侵袭性肿瘤在诊断和治疗方面进展甚微。然而,深入了解OSCC的发病机制、分期与分级、特征及致病因素,是晚期OSCC患者诊断和治疗的首要需求。因此,本综述旨在全面了解OSCC的患病率、分期与分级、分子发病机制(包括癌前阶段)、各种特征、病因学、诊断方法、治疗(包括FDA批准药物的作用机制和副作用)以及诊疗一体化药物。本综述更新指出,为更好地理解OSCC进展,促肿瘤炎症、持续增殖信号以及生长抑制信号/凋亡能力逃逸是三个最重要的特征。本综述表明,在所有病因因素中,烟草消费是OSCC高发病率的主要贡献因素。在OSCC诊断中,活检被认为是金标准,然而甲苯胺蓝染色是最简单且非侵入性的方法,具有高准确性。尽管有多种治疗药物可用于癌症治疗,但仅有少数被FDA专门批准用于OSCC治疗。本综述建议,在所有可用的OSCC治疗方法中,基于抗体的CAR-NK是未来癌症治疗中一种有前景的治疗方法。目前,本综述也表明诊疗一体化促进了癌症诊断和治疗的进步,然而,仍需进一步研究以明确诊疗一体化与不同模式联合在癌症治疗中的作用。
Oral squamous cell carcinoma (OSCC) is considered the most common type of head and neck squamous cell carcinoma (HNSCC) as it holds 90 % of HNSCC cases that arise from multiple locations in the oral cavity. The last three decades witnessed little progress in the diagnosis and treatment of OSCC the aggressive tumor. However, in-depth knowledge about OSCC's pathogenesis, staging & grading, hallmarks, and causative factors is a prime requirement in advanced diagnosis and treatment for OSCC patients. Therefore present review was intended to comprehend the OSCCs' prevalence, staging & grading, molecular pathogenesis including premalignant stages, various hallmarks, etiology, diagnostic methods, treatment (including FDA-approved drugs with the mechanism of action and side effects), and theranostic agents. The current review updates that for a better understanding of OSCC progress tumor-promoting inflammation, sustained proliferative signaling, and growth-suppressive signals/apoptosis capacity evasion are the three most important hallmarks to be considered. This review suggests that among all the etiology factors the consumption of tobacco is the major contributor to the high incidence rate of OSCC. In OSCC diagnosis biopsy is considered the gold standard, however, toluidine blue staining is the easiest and non-invasive method with high accuracy. Although there are various therapeutic agents available for cancer treatment, however, a few only are approved by the FDA specifically for OSCC treatment. The present review recommends that among all available OSCC treatments, the antibody-based CAR-NK is a promising therapeutic approach for future cancer treatment. Presently review also suggests that theranostics have boosted the advancement of cancer diagnosis and treatment, however, additional work is required to refine the role of theranostics in combination with different modalities in cancer treatment.
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