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ANN ONCOL:晚期口咽癌进行血浆HPV游离DNA监测

2018-09-29 MedSci MedSci原创

检测血液和组织中的游离(cf)DNA是一种具有广泛应用前景的微创肿瘤监测方法。口咽部肿瘤通常与人乳头瘤病毒(HPV)有关。ANN ONCOL近期发表了一篇文章,研究是否可以用血浆游离DNA晚期口咽癌患者进行检测。

检测血液和组织中的游离(cf)DNA是一种具有广泛应用前景的微创肿瘤监测方法。口咽部肿瘤通常与人乳头瘤病毒(HPV)有关。ANN ONCOL近期发表了一篇文章,研究是否可以用血浆游离DNA晚期口咽癌患者进行检测。

作者设计了一种灵敏的PCR检测方法,用于检测与口咽癌(OPC)相关的五种主要的高风险HPV亚型。研究纳入22名晚期HPV阳性OPC患者,评估该方法的临床效用并探索其预测和预后潜力。研究结果表明,总肿瘤负荷(TTB)与HPV cfDNA水平显着相关,并且疾病位置位于解剖学远端时,HPV cfDNA水平增加。在再次影像学扫描确认治疗反应或疾病进展前,所有患者的HPV cfDNA水平都会出现相应变化。病灶位于头部和颈部或仅有肺转移的患者预后较差。TTB和血浆HPV cfDNA水平均与患者生存情况负相关。

文章最后认为,血浆HPV cfDNA监测可以反应疾病状态的波动。这些研究结果表明血浆HPV cfDNA监测在精准医学时代具有广泛临床应用潜力。

原始出处:

G J Hanna ,J G Supplee,et a.Plasma HPV cell-free DNA monitoring in advanced HPV-associated oropharyngeal cancer. ANN ONCOL.September 2018 doi: https://doi.org/10.1093/annonc/mdy251

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    2019-10-13 146dd46em49暂无昵称

    希望以后能得到有效应用

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    2019-08-04 minlingfeng
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    2018-10-01 LSJ116

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